HomeMy WebLinkAbout637 SANDREED CT - APPLICATIONS - 8/18/2014City of
Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
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). O Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) O Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ® Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater O Water Line O Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete al lic le 1 r o n p ca
Applic- _ B 4 I l 9
For office use only
Incomplete applications will not be accepted
Date 6 / r B/201 4
Job Site Address (required)
Value of Construction (labor, materials, profit)
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Property Owner Name
Address
City/State Zip Phone
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Applicant Name
Address
City/State Zip Phone
Contractor
Address
City/State Zip Phone
CAPITOL ROOFING INC. 6540 S. COLLEGE
FORT COLLINS 80526 970-223.5600
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? frHere 0 Report
9No
sates tax number isreouiredbyall conrracrors.
Are you paying with your trust account? ❑ Yes
ny-, / W (0,
Is this a residential or commercial project? residential ❑ Commercial
If residential, is it: ET -Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage i
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 t7CNo if yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work
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'If lawn sprinkler/backnow 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 # rt_
Electnoan Plumber Mechanical Roofer VI 1 lOther
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 Name: CAPITOL ROOFING INC. — Signature __ Date _
Ir