HomeMy WebLinkAbout415 NOQUET CT - APPLICATIONS - 11/2/2018City 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 # lb 19) q 0 DU
For office use only
Date 11l02l19
Job Site Address (required) Value of Construction (labor, materials, profit)
415 Noquet Ct. Fort Collins, CO. 80524 gg2_.a8 (� v
Property Owner Name Address City/State Zip Phone
Bryant & Laurie Kolsin 1920 Winamac Dr. Fort Collins, CO. 80524 970 377-9874
Applicant Name Address City/State Zip Phone
Craig Schultz 3864 Ash Ave Loveland CO. 80538 (970) 286-3014
Contractor Address City/State Zip Phone
Schultz Roofing & Repairs LLC. 3864 Ash Ave Loveland, CO 80538 (970) 286-3014
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ® Here ❑ Report
sales tax number isrequired byall contractors. Are you paying with your trust account? ❑ Yes 0 No
Is this a residential or commercial project? ❑ Residential ❑ Commercial
If residential, is it: ® Singfe 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 i3No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work 1 story 5/12 pitched roof with 1 layer of dimensional asphalt shingles.19.33 sq
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontracbors: List the company name or City of Ft Collins license #
Electrician Plumber Mechanical Roofer 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: Craig Schultz Signature qnt Date 11/02/18
Revision date 216/2017