HomeMy WebLinkAbout1120 W Prospect Rd - Applications/Reroof - 04/11/2019.cit,,yaof Planning, DevelopeneM & Transporiat/on Services
� ` Ins Community Development & Neighborhood Services
281 North College Avenue
Fort Callers, CO W524 Main: 970A16.2740 Fax 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the fol lowing. permits only (check au that apply). 0 Air Conditioning
13 Demolition (interior non-strucharal) E3 Eleclricai Alteration (not service change) 0 Gas Lighter ❑ Gas Log:
O Heating Unit 0 Lawn Sprinkler Cl Mobile Home replacement GYRoofiag 0 Sewer Lime 0 Photo -voltaic
0 Ventilation 0 Water Heater 0 Water Line 0 WoodlPeliet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application * H q'D Q li3-1 Date
For ofte&wcnrr
]ob Site Address (ntprri end) Value of GonSbvcdon (labor, materlas, profit)
1020 West Prospect Road 2900.00
Property Owner Name Address City/State Zap Phone
Ethan Rozenfeld 1020 West Prospect Road, Fort Collins, CO 80526 () -
Applicant Name Address citylstate Zip Phone
Henrietta Tindall 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor Address City/state Zip Phone
NOCO Roofing 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? dNere ❑ Report
-We Wr"7 tffSr87d dbyanaw, WOM Are you paying with your trust account? GYYes El No
Is this a residential or commensal project? GrResidential 17 Commercial
ff residential, is it: GrSingle Family Detached 0 Condo/boumhome (single fam Syr attached) ❑ Duplex
0 Mulltifamlly (apartment) 0 Garage
N commercial, is it: 0 Bank O Bar 0 Church ❑ Ho2el/Motol O Medial office Cl Office 0 Retail
O Restaurant 17 Other (explain)
Is this building 50 Years of ape or more? 0 Yes ta No rjep ym imyr wd to cmW hf;tork PnservahL7a
If this is for a demolition pwm*, what year was the building constructed?
(e,sWption of work Tear off existing shingles and re -roof 29 squares Class 4 impact resistant asphalt shingles.
Provide required attic ventilation. Install required ice and water shield.
Install shingles per manufacturers high -wind specifications. 1 story. Alvarez Roofing to do the work.
*If lawn sp►irikla7baddlI v prevent r, met list lip' I P d Plienber. If first-thili A/4 must lit Yeerrsed deCtridan.
Subcoervacitorsr L& the a r*wynww or Ofy of It C 0w Amrae 0
Eearidmn ausrberFactlartca Pa0w R+3696 other
I hereby acknowledge that I have read this application and state that the above liftmatim Is ca rote and correct I agree to
comply with all re**en vats contained herein and city ord ainctss and state laws regulaW9 buildhtg corrstructim. I toww that a
permit Is not wild until it has been paid and bulled.
Henrietta Tindall ! 04/16/2019
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