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HomeMy WebLinkAbout3337 Lochwood Dr - Applications/Reroof - 07/26/2019�Cttro4 Planning, Development, & Transportation Services lfins 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 ❑ 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 infoormation on the application. Incomplete applications will not be accepted. Application #_ b 10/0 '5�o2G1 Date —� For office use only lob Site Address (required) Value of Construction (labor, materials, profit) 33`7 LarHwo3) I RIF..10q Property Owner Name Address Gty/ fate Zip Phone S4- e v 1: POm6 k e c{w saw,( fir" UA - q qa-a Is- Raov Applicant Name Address City/State Zip Phone Majestic Roofing LLC 6200 N. Garfield Ave Loveland Cc 80538 970-667-8500 Contractor Address City/State Zip Phone Majestic Roofing LLC 6200 N. Garfield Ave Loveland Cc 80538 970-667-8500 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? N Here ❑ Report Sales tax numberisrequiredbyall contractors Are you paying with your trust account? ® Yes ❑ No Is this a residential or commercial project? IN Residential ❑ Commercial If residential, is it: IN 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 I)a No If yes, you mayneed to contact Historic PreseruadYon If this is for a demolition permit, what year was the building constructed? Description of work Remove and Replace Shingles ©. C_ &3ri ' 0.0+SS 'Q S7oRy 1 114 Coil Nails 6 per Shingle 30,�-,, [ awt 4ProY 723 C 4.n *If lawn sprinkler/bacidlow 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 R-1510 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: _ Print Mame: I`At,(l 72hZS Signature \r Date J 1 Revision date 21620t7 9