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HomeMy WebLinkAbout4342 HUMMINGBIRD DR - APPLICATIONS - 9/18/2015From: Denali Roofing Fax: (970) 660-4417 To: +19702246134 Fax: +19702246134 Page 1 of 1 09/172015 3:21 PM fit O� Planning, Development & Transportation wy► 281 N. College Ave P.O. Box 580 ®I t Collins Fort Collins, CO80524 / 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 El -Roofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Mod/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 # TSIS�d°IU Date For office use only Job Site Address (required) !Value of Construction (labor, materials, profit) 4342 Hummingbird Drive 17 Sq Property Owner Name Address City/State Zip Phone Adrian Intlekofer 4342 Hummingbird Fort Collins, CO 80525 970-217-4698 Applicant Name Address City/State Zip Phone Denali Roofing, LLC 2310 E 13th ST. Loveland/CO 80537 970-660-4417 Contractor Address City/State Zip Phone Denali Roofing, LLC 2310 E 13th St. Loveland/CO 80537 970-660-4417 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? © Here ❑ Report Sales tax number is required by all conoactors Are you paying with your trust account? aYes ❑ No 49209 Is this a residential or commercial project? I@ Residential ❑ Commercial If residential, is it: IKI 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 LYNo Ifyes, 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 Remove old roofing system down todeck. Install synthetic underlayrnent over entire sulfate. Install ice and water at the roof eves. valleys and around penetrations. Install drip edge along a.11 building perimeters. *If lawn sprinkler/backflow 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 # Electrician Plumber. Mechanical Roofer R21II+ 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. Applicant: Print Name: Katrina Fenzi Signature Date 9/17/15