HomeMy WebLinkAbout328 WEST ST - APPLICATIONS - 1/9/2019Fcityaot p/snning, Development & Transportation Services
W `�lIns 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
Thins application le to be used to apply forthe following portraits only (check a® that apply). D Air Conditioning
0 Demoldbn (interior run-sWcturap O Electrical Alteration (not service change) 0 Gas Lighter a Gas Log
O HoWng Unit 0 Lawn Sprinkler 0 Motile Horne replacement Q%oofng D Sewer Line 0 Photo-voltak;
a Ventilation a Water Heater 0 Water Line O Weod/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable inlomsation on the application. Incomplete applications will not be accepted.
Application # 611 C� 1 S -7" Date
Farah rise arty
Job Shia Address lrsqukea) Value of Cona"Jetlon (labor, ntawttats, proltit)
328 West Street - 1926.00
Property Owner Name Address City/State Zip Phone
Kelly Deligio 328 West Street, Fort Collins, CO 80521 (970) 388-8283
Applicant Name Address City/Smtte Zip Phone
Henrietta Tindall 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor Address City/State Zip Phone
NOCO Roofing 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Q ere ❑ Report
Saes rarrtrentrats regz*wbrancmanch. Are you paying with your trust account? GYYes 0 No
Is this a residential or commercial project? LIResidetntial 0 Commercial
V residential, is it: i3 Single Famlly Detached 13 Condo/townhwne (single fancily attached) ❑ Duplex
0 Multifamily (apartment) 0 Garage
V commercial, is it: 0 Bank 0 Bar 10 Church 0 Hote)74O4et 0 Medical office 0 Office O RiElta8
O Restaurant 0 Other (explain)
Is this building -SO years of age or more? a YC50 No Ilya. feu mayneW to cwta6tlfBak Pnatary htv
V this is for a damogtlon perink, what year was the buikflq constructed?
Description Of work Tear down to decking and re -roof 9.25 squares with Owens Corning shingles.
Remove Modified bitumen roof and install 10 squares of new Modified bitumen roofing. Ice and water shield required.
Install per manufactures high wind specifications. 2 story. Alvarez Roofing to do the work.
*If lawn sprinkler/baddlow per, r►u list IlcensW plurnber. If flrat-thnia A/C, must list Bceir>eed ek%&k L
Subcontrwtorw UFtdteWnWyrrameer01yofRCoitus Amme .0
pectridan PIWTW- Medo*M RMW R+3696 Oates
I hembli acknowledge that I have read this application and state that the above i nromhatioh Is earrigiteee and correct I agree to
oorni* with all re**einards mntakred herett and city ordnance; and state laws regulaHftg buitdktg consbvrtim, I k"M rust a
pecan Is not VAd until It hr bean paid and bona .
pdmM; Henrietta Tindallwllllwum��L�,.P�e 01/08/2019
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