HomeMy WebLinkAbout1303 Poppy Ct - Applications/Reroof - 03/22/2019This application
❑ Demolition (inte
❑ Heating Unit I
❑ Ventilation ❑ 1
manufacturer).
Complete all apr
Application #.
Sob Site
1303 Poppy (;0
Property Owner
Planning, Development, & Transportation Services
Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
or non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
ater Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
information on the application. Incomplete applications will not be accepted.
B19®1733
office use only
(required)
Fort Collins, CO 80521
mo Address
Jason Thorngrer.
Applicant Name
Robert Roberson
Contractor
HERO exteriors
Contractor City c
sales tax number is
R-3691
Is this a resident
If residential, is i
If commercial, is
Is this building 5
If this is for a de
Value of Construction (labor, materials, profit)
11,754.59
City/State Zip
1303 Poppy Court, Fort Collins, CO 80521
Address City/State
3013 Cavalry Ct.
Address
3013 Cavalry Ct.
Ft. Collins Sales Tax #
quired by all contractors.
Fort Collins, CO
City/State
Fort Collins, CO
Zip
80526
Zip
80526
Phone
213-3052
Phone
970-393-3520
Phone
970-393-3595
Are you paying taxes here or by report? 0 Here ❑ Report
Are you paying with your trust account? ❑ Yes ❑ No
or commercial project? ® Residential ❑ Commercial
® Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
years of age or more? ❑ Yes lZNo If yes, you may need to contact Historic Preservation
lolition permit, what year was the building constructed?
Description of work ReRoof of 20.72 Squares using class 4 Duration Storm Shingles on a 2 story home
HERO exteriois to do the work
*If lawn sprinkler backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: list the company name or City of Ft Collins license #
Electrician
Plumber. Mechanical Roofer Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: Robert Roberson Date 3-zz- 1 q
Print Name: Signature
Revisim dale 2/612017