HomeMy WebLinkAbout6820 Ivy Glenn Way - Applications/Reroof - 06/06/2019city of Planning, Development, & Transportation Services
Fort Collins 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
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 #�
For office use only
Date 6/6/2019
Job Site Address (required) Value of Construction (labor, materials, profit)
6820 Ivy Glen Way 4063.30
Property Owner Name Address City/State Zip Phone
Jason Dowdy 6820 Ivy Glen Way Ft. Collins, CO 80525 970-402-1670
Applicant Name Address City/State Zip Phone
Lily Behrends 614 5th Ave Greeley 80631 970-395-0406
Contractor Address City/State Zip Phone
Bob Behrends Roofing 614 5th Ave Greeley 80631 970-395-0406
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 13 Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? 0 Yes ❑ No
41034
Is this a residential or commercial project? 59 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 I3 No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description Of work Tear off 1 layer and install synthetic felt. Install drip edge on rakes & eaves. Install Ice & water at valleys and
eaves. Owens Corning Duration Storm Class 4 Estate Gray.2 Story. 11 2/3 squares. 5/12 Pitch.
*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 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: Lily Behrends Signature 546"aDate 6/6/2019
Revision date 2/6/2017