HomeMy WebLinkAbout707 Foxtail St - Applications/Reroof - 04/19/20190J� EagleView Roofing, LLC
�3 �� Planning, ®eve:lopment & TransportationTransportation1 Sto rY
ri a 281 N. College Ave P.O. Box 580 Squares: #
F' Collins Fort Collins, CO 80524
_ Phone 970-416-2740 Fax 22+6134
OVER-THE-COUNTER PERMIT'S ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electdcai Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application.
Application # ) � l ! ( 5
For office use only
Incomplete applications will not be accepted.
Date 04/19/2019
Sob Site Address (required)
Value of Construction (labor, materials, profit)
707 Foxtail St., Ft. Collins, CO 80524 $2700
Property Owner Name
Address City/State • Zip
Phone
Philip Partain
707 Foxtail St., Ft. Collins, CO 80524
(970) 310-6381
Applicant Name
Address City/State Zip
Phone
Denise Perry
1540 Main St., Unit 218, #180, Windsor, CO 80550 ,
(970) 223-0113
Contractor
Address City/State Zip
Phone
EagleView Roofing, LLC
1540 Main St., Unit 218, #180, Windsor, CO 80550
(970) 223-0113
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
46 Here ❑ Report
Sales tax number israquiredbyall mntracto Are you paying with your trust account?
❑Yes 1P No
Is this a residential or commercial project? 46 Residential ❑ Commercial
If residential, is it: E5 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain) i
Is this building 50 years of age or more? ❑ Yes 0 No If yes, you mayneed to contact HistoricPfesenraffon
If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, you wi//need an asbestos assessment to submit with this 1'jCp/1Wb70n.
of work
and
*If lawn sprinkler/backRow preventer, must list licensed plumber. If first-time
Subcontractors: List the company name or City of Ft Collins license #
Electrician Plumber
I hereby acknowledge that I have read this application and state that the ab
comply with all requirements contained herein and city ordinances and state
permit is not valid until it has;been i i and issued.
Applicant:
Print Plame• C Signature
4
must list licensed electrician.
Roofer R-2443 Other
iformation is complete and correct I agree to
regulating building construction. I know that a
®ate �'Ja3