HomeMy WebLinkAbout820 ASHFORD LN - APPLICATIONS - 6/26/201506/26/2015 09:13 9703539774 1 INDEPEDENT ROOFING I PAGE 01
F6 Golilns
Planning, Development &. Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 22+6134
OVERwTHE-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) Cl Gas lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler 17 Mobile Home replacement Is Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heiater ❑ 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 # 5a 111 Date
Gr n/?�ro .xe nn1�
Is this a residential or commercial project? 10 Residential ❑ Commercial
If residential, is it: CK Single Family Detached ❑ Condo/townhome (single family attached) d Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is It: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office [I Office 0 Retail
0 Restaurant 0 Other (explain)
Is this building 50 years of age or more? ❑ Yes 1R No If yes, you m8y need to contact Hislnr/c Preservation
if this is for a demolition permit, what year was the building constructed?
,i `prlor to 1975, yvu will need an asbestos assessment to submit wwiM this application.
Description of work Sear off to deck install drip edge, ice guard at eaves 30 lb. felt valley tin
*If lawn sprinkler/baddiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name Or CW Of R CpMW Ikenst 0
Sectridan — Plumber Mechanical Roofer R-294 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.
Appllcantr $t P�VPrG P.t' Date _-i!na. 20115
Print Name: signature