HomeMy WebLinkAbout1418 ASH DR - APPLICATIONS - 3/28/2017City.of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
ForCollins Fort Collins, CO 80524
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 ❑ 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 # (b 1 . ' w cbl %0 (Lo ® I
For ofce use only
Date 6 .aq g . / 7
Sob Site Address (required)
Value of Construction (labor, materials, profit)
1418 Ash Dr.
s1w"T—
Property Owner Name Address
City/State Zip
Phone
Jennifer Ramsey 1418 Ash Dr.
Ft. Collins, CO 80525
970-689-1140
Applicant Name Address
City/State Zip
Phone
Betzy Sanchez 614 5th Ave
Greeley, CO 80631
970-395-0406
Contractor Address
City/State Zip
Phone
Bob Behrends Roofing, LLC 614 5th Ave
Greeley, CO 80631
970-395-0406
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
ICKHere ❑ Report
Sales tax number isrequired byall contractors.
Are you paying with your trust account?
CKYes ❑ No
41034
Is this a residential or commercial project? K Residential ❑ Commercial
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 (explain)
Is this building 50 years of age or more? ❑ Yes X No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifpnor to 1975, you will need an asbestos assessment to submit with this application. ,
Description of work Tear off wooden shake shingles. Install oce&water shield on entire roof, except on mansard walls
Install Rhino underlayment on mansard walls Install drip edge and rake edge metal Innt^II Owens Coming Duration Storm
shinqles on entire roof.
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: List the company name or City bf Ft Collins license #
Electrician Plumber Mechanical Roofer R-1772 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: Betzy Sanchez Signature
Date
3/27/2017