HomeMy WebLinkAbout7445 Matheson Dr - Applications/Reroof - 09/27/20112011-09-27 18:12
t Col
Forlins
7205368148'>>- 970 224 6134 P 2/9
plawdng, Dearelop I ;k Transpo pn
281 N. College Ave j P.O. Box 58p
Fort Colpns, CO 80524
Phone 970-416-2746 724-6134
UV I
R i�iE-COUIIOTER PERIYL ._
This aPP ot1 Is to be used to apPh► for the dfolloW139 permtla only (check all I
D Oemolition (interior non4trt�uraq D Electrical Alteration (not service change) D
D Heating Unit D Lawn Sprinkler D Mobile Home replacement KRoofmg O so
D Ventilation D Water Heater D Water lime D Wood/pellet Stove (must be EPA d
manufacturer).
Comvlete all applkable In>homWon on the appUcadon. incomplete appllcaftm
Applica0on # 0-14Y;71-
Job SM Address (1100 ed)
Property owner Name
Applicant Name
Contraction .
Address
y
i0 w . ftq
Address
' oAI / Al 6
C0nft2OrOty of Ft Collins Sales Tax �r
Safes fern k �epndied bY�l mnOaaciarx
Date 4/z
value of Construe or
aty/fie ,;
C i
city/State
ur iT � i�3 �4b
CKY/State i
Are you pav" taxes here orlby
Are You ping with your host al
Is this a residential or commercial project? J8t Residetial D Commerdal
If residential, is Ib IE Sfngle. Family Detadhed D Condo/townhome (single family ate
17 Multifamily (apartment) 13 Garage
If mname d8l, Is It: O Bank (3 Bar O Church 13 HOW/Motel O Medical office 0
D Restaurant D Odw (ocplain)
Is ttUs building So yearn of qp or more? Dyes JIB No If yn ynu may ne e d to aan
If thisis fora dleanoltEion permi#, what year was the building wed?
11R,ordar m 1975, yr� rvpl neend an a'o6�eshes t lb sr�indt w�'Eh dy[s a�lAcaD►en�
Description of work
*if 16" spinkler/Ixtaftw pr+cwoter, must list: Iloensed plumber. If RrSt-tame A/C, must lrst Ike
9ubombaftcm LitLirea�ur�panynameorCJ�a�RCo�n�s/leer ,d
In
Phunba M@ftniml RodI r L4
I: fvA
V*). D Air Conditioning
Lighter D Gas Log
no O Photoavokaic
d, pnovide make, model and
not be accepted.
9o3.�v
,labor. macerlals, Daunt)
P - Phone
5s-2-S 9 219-3kg2.
p Phone
P Phone
port? 6 Hen: O Report
)Unt? D Yes II L No
. D Duplex
E Retail
I hereby age that I have read this application and state that the above lnf mmdon Is aomp`ete and correct. I agree to
comply with as reQulr ementx contained hereto and city ordinances and stage laws riegula" bulldina construction. E blow diet a
permit Is not valid until it has been paid and Issued. i
Pi�rrt Name: �iN N y 7-af o 3S slonatm pea