HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 11/14/2017City of Planning, Development, & Transportation Services
.,.Fort Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main 970 416 2740 Fax 970 224 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 # Date
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
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Property Owner Name Address City/State Zip Phone
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Applicant Name Address City/State Zip Phone
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Contractor Address City/State Zlp Phone
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Contractor City of Ft Collins Sales Tax # Are ydu"paying taxes here or by rep rt? ❑ Here Report
sai� _ lul d,byauconrracmrs Are you paying with your trust account? ❑ Yes No
Is this a residential or commercial project? ❑ Residential Xcommercial
If residential, is it ❑ 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 (expl in)
Is this building 50 years of age or morel ❑ YesXNo ff yes, you may need to contact HIstonc Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work _
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*If lawn sprinkler/backflow preventer, must list licensed plumber If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or Gty of Ft Collins license #
Electrician Plumber Mechanical Roofer : Z Other
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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 NamecftC r -i Signatu - - Date
Revision date 2/612017
Fort Collins
Commercial Roofing Questions
Planning, Development & Transportation
Community Development & Neighborhood Services
281 North College Avenue
P O Box 580
Fort Collins. CO 80522 0580
970 416 2740
970 224 6134 fax
httn 1Avww.fcgov com/buddlnq/
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1 What Is the slope of the roofs 1� i ��
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2 Are you going to be tearing off or keeping existing layers9
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• If keeping, existing layers how many layers are there?
• What kind of material are they)
3 What new roofing materials are you using?
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4. Is there existing insulation? t!
a If there Is existing Insulation Is it staying or will it be removed?
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