Loading...
HomeMy WebLinkAbout6215 TREESTEAD CT - APPLICATIONS - 3/11/2019City of Planning, Development, & Transportation Services F6rt Collins Community Development & Neighborhood Services 281 North College Avenue Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134 q vS 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 Application # ('L-A 0 14 � For office use only Incomplete applications will not be accepted. Date Job Site Address (required) Value of Construction (labor, materials, profit) 6215 Treestead Ct., Ft. Collins, CO 80528 $8826.00 Property Owner Name Address City/State Zip Phone Christopher Lake 6215 Treestead Ct., Ft. Collins, CO 80528 (970) 215-5096 Applicant Name Address City/State Zip Phone CHRISTA ROBISON- PEBLEY PO Box 270705 Fort Collins, CO 80527 970-460-8720 Contractor Address City/State Zip Phone AMERICAN ROOFING AND RESTORATION PO Box 270705 Ft. Collins, CO 80527 970-460-8720 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report Sales tax number is required by all contactors. Are you paying with your trust account? ❑ Yes ® No 00136633 Is this a residential or commercial project? ® Residential ❑ Commercial If residential, is it: IE 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 ❑ No Ifyes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? Description of work Re -roof; Windspeed 130mp; Lifetime warranty Cigsr �i sit Ha lac 42sq 2 stories *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Ft Collins license # Electrician Plumber Mechanical Roofer 00136633 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: n Print Name: Christa Robison-Pebley Signature Date 3/11/2018 Revision date 2/6/2017