HomeMy WebLinkAbout616 CHERRY ST - APPLICATIONS - 2/26/2019EagleView Roofing, LLC
1- Story
Squares:. 16_.
Planning, Development 1$ Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524 .
Phone 970-416-2740 Fax 22+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 0 Roofing . ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line 0 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 A Date February 26, 2019
For of e use on1v
gob Site Address (required)
Value of Construction (labor, materials, profit)
616 Cherry Street
$1600.00
Property Owner Name
Address City/State Zip Phone
Ward McKonly
616 Cherry Street Ft. Collins, CO 80521 (970) 219-2525
Applicant Name
" Address City/State Zip Phone
Denise, Perry
1540 Main St., Unit 218, #180, Windsor, CO 80550 , (970) 223-0113
Contractor
Address City/State Zip Phone
EagleView Roofing, LLC
1540 Main St., Unit 218, #180, Windsor, CO 80550 (970) 223-0113
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 16 Here ❑ Report
Sales tax number Isragviredbyallmntactonn Are you paying with your trust account? ❑ Yes 0 No
Is this a residential or commercial project? 46 Residential ❑ Commercial
If residential, is it: 0 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Mer lcal office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 4I No If yes, you may need to cnntactH/ston+c Presematlan
If this is for a demolition permit, what year was the building constructed?
Ifprlor to 1975, you will need an asbestos assessment to submit with this appl llion.
Description of work Class 4
gables and rakes,
** NOT doino shed - house
V lawn sprinkler/backtiow preventer, must list licensed plumber. If first-time
Subcontractors: L&Me companyname or City ofFtCollinslicense #
Qectrician Plumber
I hereby acknowledge that I have read this application and state that the ab
comply with all requirements contained herein and city ordinances and state
permit is not valid until it has been paid and Issued.
Print Name:�a-�_
must list licensed electrician.
p,00fpr R-2443 Other
iformation is complete and correct. I agree to
regulating building construction. I know that a
Date r1_)1I a'