HomeMy WebLinkAbout739 Stonington Ln - Applications/Reroof - 07/12/20131
JUL-13-2013 09:32 From: To:19702246134 Paee:1,'1
City of Planning, Development
Fart Gothns g,eP.O.o Transpo
281 N. College Ave P.O. cox 580
Fort Collins, CO 80529
2gEL( Phone 970-416-2740 :. Fax 224-'6134
OVER-THE.COUNTER PERMITS ON
This application is to be used to apply for the followin ��
D Demolition (interior non-structural ❑ Electrical 9 Permits only (clock all that apply)- ❑ HeatingUnit ❑ P ) cal Alteration not se AP y)• ❑ Air Conditioning
Lawn Sprinkler 0 Mobile Home replacement change) 11 Gas Lighter ❑ Gas Log
❑ Ventilation 11 Water Heater ❑Water Line 0 WoePJa Roofing ❑ Sewer Line b Photo -voltaic
manufacturer). ellet Stove (must be EPA certified, provide make, modei'and
Complete all applielei,111prMallon on the application, Incomplete applications will not be accepted.
Application #
Por onx-e cae only DatE
701i Site address (raqulred)
Value of Construction
'n .(labor, materials, profit)
PrOPe►tY Owner Name Address CIty/State
Zip: Pho
Applicant Name Address City/state
Zip Phone
Contractor Lic # Address
City/State zip,
v C , t \ _`(� a Phone
Contractor City of Ft. Collins Sales ax #
s esiaxnra'�e g.regnrodnya/Irrx�a-actrxx Are you yang es here.or by report? M Here ❑Report
NIA (k { h. 1 Are you Paying with your, trust account? O Yes d No
Is this a reside0al or commercial project? Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/towntiome (single family attached) `p Duplex
El Multifamlly (apartment) ❑ Garage
If commernal, is it p Hank ❑ Bar O Church Q Hotel/Motel ❑ Medical office ❑Office ❑Retail
13 Restaurant ❑ Other (explain)
Is this building so years of age or more? ❑ Yes ❑ No lfyes, you /wyn� to cnntdttHiSApricPreservatipn
If this Is for a demolition permit, what year was the building eonstrucaed7
0pnor to 1975, Nu ►vill need an asAestoa a5sesgnent 10 subm/t with this app/ica�dn.'
Description of work _, . C'oCN, Y -z' I ^ii
*If lawn spr1rd jer/baddiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontite bmw /,at theWmpanyname or Lily of Ft Collins license #
Elec rtpan Plumber Mechanical
—� Roofer Ott
I hereby adahowiedge that I have read this application and state that the above information is con ete and coned. I
comply with all requiremetht5 contained herein and city ordinances and state laws to
permit Is not valid until it has been paid and issued. regulating building construction. I know that a
. .
Applicant: ,
Print Marne: Signature 1 Dam (3 3