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HomeMy WebLinkAbout612 MORSMAN DR - APPLICATIONS - 9/8/2014Sep.08.2014 12:10 PM Slaughter Roofing Co 9703305645 PAGE. 3/ 12 Fli ort 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). ❑ 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 # �30110,951 Le Date 5re04— g, 0-01 for office use only Job Site Address pWulmd) Value of Construction (labor, materials, profit) 612 Morsman Dr $2,300.00 Property Owner Name Address City/State Zip Phone Carol Hargading same Ft Collins, CO 80526 970-631-9109 Applicant Name Address City/state Zip Phone Michael Slaughter 916 38th Ave Ct. #6 Greeley, CO 80634 (970)330-7881 - Contractor Address Gty/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? 70 Here ❑ Report sales tax number IsrequIredbyall contracrom Are you paying with your trust amount? ©Yes ❑No 3RB53 Fort Collins License #R-1703 IsAhls a residential or commercial project? 0 Residential ❑ Commercial Iff residential, is it: 0 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 -✓M No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? ifpr/or to i975, you will need an asbestos assessment to submit wish this application. Description Of Work TEAR OFF SHINGLES TO THE DECKING. INSTALL ICE & WATER SHIELD, BASE FELT PAPER, DRIP EDGE, ADEQUATE VENTILATION & DIMENSIONAL SHINGLES. 23 SQUARES t STORY *If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/C, must Ilst licensed electrician. Subcontractors: Ust the company name or L'ity of Ft CoU/ns Jkense 9 Electrician Plumber Mechanical Roofer OLMEDA#R2279 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 pail and Issued. Applicant: Print Name:'Virginia Slaughter Signature—� Gate cl l q