HomeMy WebLinkAbout804 TYLER ST - APPLICATIONS - 6/12/201917s-� b
Cltyaf , . Planning, Development, & Transportation Services
Flirt C011lns 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 X 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 # 319 C-) i a3 Date
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
804 Tyler St. $8,083.70
Property Owner Name Address City/State Zip Phone
David Cozzola 1562 Windcreek Ct. Fort Collins/CO 80526 970-689-1530
Applicant Name Address City/State Zip Phone
Dani Vienot 2200 South Valley Highway Denver/CO 80222 303-756-7663
Contractor Address City/State Zip Phone
Advanced Exteriors, Inc. 2200 South Valley Highway Denver/CO 80222 303-756-7663
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? ❑ Yes $I No
N/A per Frin Karnak on 61811A
Is this a residential or commercial project? X Residential ❑ Commercial
If residential, is it: In Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office 0 Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes P9 No If yes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Remove 18sg of existing 3-Tab shingles and the delaminated decking on a 4/12 pitch roof.
We will re -roof and re -deck using 20sg of Class IV Impact Resistant shingles per code and new decki
per code. The home is one story.
*If lawn sprinkler/backnow 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 OCNAC 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: Dani Vienot Signature Date 5-8-2019
us
Revision date 2/6/2017