HomeMy WebLinkAbout409 Noquet Ct - Applications/Sprinkler - 06/14/201306/12/2013 15:02 970-506-2730
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ALPINE GARDENS
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Planning, Development & Transportation
281 N. College Ave P,O, Box 5W
Fort Coffins, CD SD524 .
Phone 97MI6-2740 Fax 224-6134
--OVER-THE40UNTER •PERMS• .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
13 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater
/13 Water Line ❑ WoodlPellet Stove.(must be EPA certified,,provide make, model and
manu%clurer). . .�I�Frh(t' I' � ,
Complete all appiica e i o a on on the application. Incomplete applications Will not be accepted.
Application # Q pate
rorOflke use cny a -
Sob site Address (1epuire / Value of Construction (labor, materials, profit)
4c� Ls T GY F LQ & 110 &,r-y-! �-
Property Owner Name Address Gty/State Zip Phone
Name Address City/s'mte Zip Phone
• • -�. •�r r.r r .
Contractor City of Ft Collins Sales Tax # Are you paying farces here or by report?'KHere . ❑ Report
saws Amyou paying with your tustaccount? ❑.Yes No
ZZ79-fc(c
Is this a residential or -commercial project? A Residential ❑ Commercial .
If residential, is.it: . O Single Family Detached CI Condo/townhome (s ngle familyatiached) El Duplex
E3 Muftntally (aparbnent) ❑ Garage
If commercial, is it: 0 sank ❑ Bar ❑ Church ❑ Notd/Motei ❑ Medi®loince ❑ o ice D Rew
0 Restaurant t7 Other (explain)
is this building 5o pears of age or more? , O Yes T No D)es, yrwmayncwario canfan
ta&H4d01fc1ram%v
If this. is lbr a demolition permiir what year was the building mnstruded?
JfpdorcV wi// tn1975, yneed an asbestos assessmenttosuftrAft M&appAoffon.
I Description of
*If lawn sprinkler/back iow presenter, must fist licensed plumber. If fusHme A(r, mast list licensed electridan.
Subcontractors. L&Dt emmpanynameorctvofFPea/ovfii4 4?
Macb1dan Roore VYaO
I hereby adaiowledge that I have read this application and slab? that the above information is complete and correct. I agree to
comply with all requirements contabred•herein and city ordinances and slate laws regulating building mnstvctimL I know that a
permit is not valid 'until It•hdS beeri paid`abff kwdd. // �