HomeMy WebLinkAbout2327 Sweetwater Creek Dr - Applications/Reroof - 07/29/2019Cityof 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 ® 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 # GRD5g55 Date July 29.2019
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
2327 Sweetwater Creek Fort Collins, CO 80528 $ 4200.00
Property Owner Name Address City/State Zip Phone
Darry Cooley 2327 Sweetwater Creek Fort Collins CO 80528 970-443-2754
Applicant Name Address City/State Zip Phone
Roof Link - IkeJon Nissen 1822 Quarter Lane Berthoud, CO 80513 480-589-3355
Contractor Address City/State Zip Phone
Same as Appplicant
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 0 Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? 19 Yes ❑ No
R2524
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: Q Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage Barn
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 M No if yes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Taar dnwn to decking and remof with Class IV CertainTped NnrthgatP. Rh'nglP� Irognd minter
shield used Installed per manufactures high wind specs 1 stow Licensed contractor performing work with own
employees. 21 squares.
"If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/ C, must list licensed electrician.
Subcontractors: List the company name or aty of R Collins license #
Bectrician Plumber Mechanical Roofer 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: f Print Name: IkeJon Nissen Signature ....//�%i Date 7/28/19
Revision date 2/612017