HomeMy WebLinkAbout907 WAGONWHEEL DR - APPLICATIONS - 5/28/2019F f oC011��S Planning, Development 8 Transportation Services
Community Development & Neighborhood Services
281 North CoRegeAvenue
Fort Collins, CO M24 Main: 970.4le.2740 Fax 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the 1lollowing permits only (check al! that apply). 0 Air Conditioning
0 OemoRtbn (Interior non-struckni) 13 Electrical Aaeration (not service change) 0 Gas Lighter 0 Gas Log
0 Heating Unit E3 Lawn Sprinkler 0 Mobile Home replacement CYRootiing O Sewer Une 0 Photo -voltaic
17 Ventilation 0 Water Heater 0 Water Line 0 WoodlPeffet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Infommition on the application. Incompk+te applications will not be accepted.
Application * U q�)3 LO I `t' Date
]ob Site Address & aw hs7) Value of fronstrtrctlon (labor, meatus, prof)
907 Wagonwheel Drive 2100.00
Property Owner Name Address City/Slate. zip Phan
Kim Lewis 907 Wagonwheel Drive, Fort Collins, CO 80526 (703) 727-7716
Applicant Name Address City/Stabe Zip Phone
Henrietta Tindall 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor Address Qty/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 tam here or by report? dtlere ❑ Report
-Wes ray iwoff & nagdtWbyan aonaactars. Are you paying with your trust account? O'Yes O No
Is this a residential or commercial project? LIResktential 0 Commercial
ff residential, isIt: G rSingle FamilyDetached 0 Condo/townhome (single family attached) 0 Duplex
Ci Multifamily (apartrnent) 13 Garage
If commercial, Is it: 13 Bank L7 Bar ❑ Church ❑ Hob*%otel p Medical ofBoe 0 office ❑ Retail
O Restaurant 0 other (explain)
Is this budding Stl years of age or more? 0 Yes O No IYyoF Wu mayneed to cmtact f>!Wotfc Pn e►w&w
If this is for a dem ffdon perrnl, what year was the building constructed?
Description of work Tear off existing shingles and re -roof 21 squares with Class 4 impact resistant asphalt shingles.
Provide required attic ventilation. Install required ice and water shield.
Install shingles per manufacturer's high -wind specifications. 2 Stories. Alvarez Roofing to do the work.
*V lawn spritkfa/baddlow PMVeF ter, must Wit Iloansed plumber. If first-tbtle A/C„ mttst list NWnsed dedrklan.
SubcanthraeWmWtheo:ngvynamecrOryGIfRCoAts Raise 0
Bearldan pusrti>er Mechanical RNW R+3696 Other
I hereby adnmkdge that I here read this application and state that the above information Is ca nplete and onrtect I agree oo
amply with all regtdreme ils contained herein and city ordirlim s and state laws regulating building construction. I know oral a
pan a Is not wild YotN It hae been pdd and f ae&
p�: Henrietta Tindall SWWd&44L Dam 05/24/2019
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