HomeMy WebLinkAbout1324 Morgan St - Applications/Reroof - 08/19/2011of
Port Collins
Planning, Oeveiopment & Transportation
291 N. College Ave P.O. Bcx 580
Fort Collins, CO 80524
Phcne 970-415-2740 Fax 224-61-74
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). C Air Conditioning
❑ Demolition (interior non-structural) O Eiectrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
G Heating Unit ❑ Lawn Spr'nic!er ❑ Mobile Home replacement ❑ Rocfing G Sewer Line ❑ Photo-vcitaic
C) Ventilation C Water Heater ❑ Water Line ❑ Wood/Pellet Stcve (mus" be EPA certified, provide make, model and
manufacturer),
Complete all applicable information on the application. Incomplete applicatioCA will net be accepted.
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Property Owner Nar„e Address
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Applicant Name Address
J}D�1A,NC9 , 900�01,5 leer'no►oq►eS �4�G�
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6ef4-5 Wmdsor Co Rosso
Phone 9%0
663-•oao
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Contractor Uc # Address
C:TiiStrte Z;p
Phone
16aco Vans, �-Iual
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Cortra(,-or City of Ft Collins Sales Tax 9
?,re ycu paying taxes here or by report?
L7 Here ❑ Report
Sal&c LFxnlmrberiSAea&rc--�vyallconca=rs.
Are you paying with your rust account?
00s ❑ No
AC70512
Is this a residential or commercial project? 1(Residenti2i ❑ Commercial
If. residental-, is it: Single Family Deached ElConda/townhonE (singie farnh attached) ❑ Duplex
ultifamily (apartment) ❑ Garage
If commercal, is it: ❑ Hank ❑ Ear ❑ Church ❑ Hete!/Motel ❑ Medic2l office ❑ Once ❑ Retail
❑ Rest-aurnt ❑ Other (explain)
Is this building so years of age er more? D Yes ❑ No If yes, you mayneedto coned Historic Prscerlst
If this is for a demolition permit, what yeer was the building constructed?
Ifprior to 1975, you will need an asbestos as. essment to submit wi'S th/s application.
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*If (awn sprnkler,tal:eow preventer, mud: fist licensed plumcer. If first-time A/C, must list licensed elestridan.
5u bcontractors. L%st U-re c.�mpsr, y nerve or City of Fr Collins pc_=rse r
Eec'r!car Flumcsr MechaNcal Rccr_r lm-r-L� Other
I hereby aG4nCPr!erge btiat 1 have read this application and st'_te that the above inferr,atien is cornplete and correc. I agree to
comply with all requlrs--ments cent-ined her=_in and city ordinances End st_te laws re_ulctuig builcirc constructron. I know that a
permit is nct valid until it has been paid and issued.
Applicant: i1 1 Si na✓���/
Print Name: bat=
l/l •d 11801'ON W fll)d 03JNVAP Wd£E:l 1[0Z '61•2nd