HomeMy WebLinkAbout409 Bannock St - Applications/Sprinkler - 04/04/201303/20/2013 11:33 970-506-2730
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ALPINE GARDENS
PAGE 03/09
Planning, DeveloPMent & Transportation
281 N. College Ave P.o, Box sm
Fort ColGru, CO 80524
Phone 470-416-2791) Fax 224-6134
O�;R�rliE�OiINTER -PERMr .ONLY
'This application is to be used to apply for the following permits only (check all that apply), CI Air Conditioning
❑ Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas lighter 0 Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 0 Sewer line ❑ Photo -voltaic
Cl ,Ventilation ❑ Water Heater ❑ Water Line to Wood/Pellet Stove ,(must be EPA certified,.provide make, model and
manufacturer). ' .. ' I . •
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 130 14 0 9 Date
Aar OMM cMonly 0'2 s
4—q
lab Site Address (na?uired) Value of Construction (tabor, materials, profit)
Property owner Name Address aty/Sta(e Zip Phone
Name Addneszs City/State Zip Phone
Conbactor Address ` . city/state . Zip Phone
Contractor Gty of FL Collins Sales Tax # Are you paying taxes here or by report? -gHere CI Report
sahsItirmMber&.equimebyey=Dad= Are you paying with your trustaccount? D.Yes ipNo
Ts this a residential or -commercial project? K Residential ❑ Cvmmeraal
If reside riial, is It . El Single Family Detached ' 11 Condo/townhome (single li rmily.attached) ❑ Duplex
0 Multtfamlly (apartment) ❑ 'Garage
If commercial, is it, E18ank n Dar it Church U Hotel/Motel ❑ Medical office 0 Cff'ice El Retall
❑ Restaurant la Other (explain) .
Is this building 50 years of age or more? 0 Yes X No JfyPS, youmayna-dZ9 caniactHLtWcPrewn2rlon
If this, is,for a demolition permit, what year was the building const'ucted7
Ifp 7orto 1973, you will need an asbestos assEtwmarn'e7 submiT wdh flrls application.
Description of work
*If lawn sprinlder/baddlaw preventer, must list licensed plumber. If fits[ time A%C, must fist licensed eledri4an.
Subcontractors,list[}iemmparrynameorppG7lrofRLblOrrsb
we&ician Plumbe3',�A —5*—Mechankal _ Poorer other
I hereby acknowledge that I have read.tieis applimbon and state that the above information Is complete and cowed. I agree m .
comply with all requirements contained -herein and city ordinances and state lawsregulating bullding coramrctlon. I know that a
permitIs nrit'Valid rmtl'it'hM bees paid,arid'issued.' ff °�