HomeMy WebLinkAbout2303 Silver Oaks Dr - Applications/Reroof - 07/23/2019City of Planning, Development, & Transportation Services
Fort Collins 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
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 N 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 # �qo SSV� Date 7/23/2019
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
2303 Silver Oaks Drive, Fort Collins CO 80526 $14,650
Property Owner Name Address City/State Zip Phone
Mike Koliha 2303 Silver Oaks Drive Fort Collins, CO 80526 970-214-5810
Applicant Name Address City/State Zip Phone
Mason Smith 7355 Greenridge Road Unit C Windsor, CO 80550 970-217-3552
Contractor Address City/State Zip Phone
All Phase Restoration 7355 Greenridge Road Unit C Windsor, CO 80550 970-213-1900
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? Yes ❑ No
R-2507+ / 3696-RZ+
Is this a residential or commercial project? ■ Residential ❑ Commercial
If residential, is it: E 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)
Is this building 50 years of age or more? ❑ Yes■No Ifyes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Remove and replace 31 SQ. Single story ranch
Material is OC Duration Storm IR Class 4, dimensional shingles, color Desert Tan. Install new
drip edge and ice and water.
*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 RooferR-2507+/ 3696-RZ+ 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.
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Applicant: Mason Wyatt Smith"Z Mn--,L n� 7/23/2019
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Print Name: Signature Date
Revision date 2/62017