HomeMy WebLinkAbout643 Zuni Cir - Applications/Reroof - 04/12/2019EagleView Roofing, LLC
Planning, Development & Transportation 1 Story
281 N. College Ave P.O. Box 580 Squares: 18
Fort Collins, CO 80524 .
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical 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. Incomplete applications will not be accepted.
Application # b 1 9,l/ a `'i -7 -7 Date.April 12, 2019
For office use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
643 Zuni Circle
$1800
Property Owner Name
Address City/State Zip
Phone
Chris Birmingham
643 Zuni Circle, Ft. Collins, CO 80526
(302) 893-0709
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 a Report
Sales lax number fsrequired byall mn&ucWm Are you paying with your trust account?
❑ Yes JZ No
Is this a residential or commercial project? 46 Residential D Commercial
If residential, is it: 16 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office D Office D Retail
❑ Restaurant ❑ Other (explain) I
Is this building 50 years of age or more? ❑ Yes Ol No If yes, you mayneed to contact Histo& Preserva&on
If this is for a demolition permit, what year was the building constructed?
Ifprlor to 1975, you wiiineed an asbestos assessment to submit with this application.
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Description of work R&R tear off, ice and water, new felt rid el
drip edge, IR Class 4 shingles, utters
and downspouts
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C,
must list licensed electrician.
Subcontractors: List Me company name or City of Ft Collins license #
Bectridan Plumber Mechanical
Roofer R-2443 Other
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I hereby acknowledge that I have read this application and state that the abovelinformation
is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws
permit is not valid until it has been paid and issued.
regulating bull i construction. I know that a
Applicant:
Print Na md� / %r Signature i
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