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HomeMy WebLinkAbout4435 MONTE CARLO PL - APPLICATIONS - 12/7/201412/07/2014 19:27 FAX City of OI"t CO��i11S Planning, Development 8. Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THSCOUNTER PERMITS ONLY This application is to be used to apply for the following permlts 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 ID Roofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line Cl 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 # B14Date 1217/14 For ofte use only Sob Site Address (required) Value of Construction (labor, materials, profit) 4435 Monte Carlo PI. 56476.00 22sq Property Owner Name Address city/State zip Phone Kurt Tovar 4435 Monte Carlo PI. Fort Collins, CO 80525 (870) 214-5268 Applicant Name Address City/State Zip Phone Cralo Schultz 3664 Ash Ave, Loveland CO 80538 (970) 286-3014 Contractor Address City/State Zip Phone Schultz Roofing & Repairs, LLC. same as above Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ® Here ❑ Report SILOS W number is required by 8d corm eW. Are you paying with your trust account? © Yes ❑ No b3342 Is this a residential or commercial project? ® Residential 0 Commercial If residential, Is It: ® Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, Is It: ❑ Bank 17 Bar ❑ church 11 Hotel/Motel 13 Medical office Ci Office 13 Retail ❑ Restaurant ❑ Other (explain) Is this building SO years of age or more? O Yes 2 No If yes, you may need to contact Histr c Presarvedon If this Is for a demolition permit, what year was the building constructed? Ifpffor to 1975, you will need an asbestos assessment to subm/t w/tih th/s a pllcatlon. Description of work Remove 1 layer asphalt shingles, Install 30ti felt, Ice n water shield on eaves and drip edges. Re shingle with Tamko Heritage 30year shingles._ *If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electricians Subeontractorsi List the company name or City of Ft Collins license 0 Sectrldan Plumber Mechanical Roofer X 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 cor>Talned herein and city ordinances and state laws regulating building construction, I know that a permit M not valid until it hair been paid and Issued. Applicant: p i Print Name: C:rabo Schultz Signature pate !a %