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HomeMy WebLinkAbout907 MARBLE DR - APPLICATIONS - 9/8/2014Sep.08.2014 12:12 PM Slaughter Roofing Co 9703305645 PAGE. 6/ 12 Ctt of planning, Development & Transpottatlon FY 281 N. College Ave P.O. Box 580 ort Collins 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 El Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing n 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 # �1 L4 0 Ss For oboe use only Date $ 2f)14 Job Site Address (required) Value of Consitruction (labor, materials, profit) 907 MARBLE DR $2,500.00 Property Owner Name Address City/State Zip Phone TOM LIS SAME FT COLLINS, CO 80526 970-217-4593 Applicant Name Address Gty/State Zip Phone Michael Slaughter 916 38th Ave Ct. #6 Greeley, CO 80634 (970)330-7881 Contractor Address city/State Zip Phone Slaughter Roofing CO 916 38th Ave Ct. #6 Greeley, CO 80634 970 330-7881 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? M Here ❑ Report Sa/astaxnumberIsWu/redbyellcantrad m Are you paying with your trust account? ✓❑Yes ❑ No 38653 - Fort Collins License #R-1703 Is this a residential or commercial project? © Residential ❑ Commercial If residential, !sit: ❑� Single Family Detached ❑Condo/townhome (single family attached) ❑ Duplex ❑Multifamlly (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 M No 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 witir this application. Desa iptlon of Work TEAR OFF SHINGLES TO THE DECKING. INSTALL ICE & WATER SHIELD, BASE. FELT PAPER, DRIP EDGE, ADEQUATE VENTILATION & DIMENSIONAL SHINGLES. 26 SQUARES 2 STORY *If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or Aly of Pt Collins Acanse # Eletridan Plumber Mechanical Roofer OLMEDA#ER2279 Other I hereby acknowledge that I have read this applkotlon 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: VIRGINIA SLAUGHTER Signature Date 1 N