HomeMy WebLinkAbout2908 Pampas Ct - Applications/Reroof - 08/11/2011FROM :kessler FAX NO. :
Aug.11 2011 09:01AM P1
-oCity. Collins
9roevellolonummTrainqmts an
261 N. College Ave P.O. Boa SW
Fort CdBns, 00 W524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to be used to apply for the followbV pan, only (dwok all that apply)_ ❑ Alr Conditioning
❑ Demolition (interior non-structural) ❑ Dectri r Aftradon (not service flange) ❑ Gas LWftr 13Gas Mpg
❑ Heating Unit dLawn Sprinkler O Mobile Hone repkkx� X%uling ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Lane ❑ Wood/Petiet Store (must be EPA certified, provide make, model and
manufacturer).
compleLs a0 app le Information on the application. Incompig" applleatlons win not be au ce~.
Application #,
far d7ke &W orgy
Sob Site Address (mqt&"
2908 pow,
Date 8/I i f rr
Value of Consbvellon (tabor, materials, prom
Do,- 21
Property Owner Name Address
City/StIft
Zip Phone
aMm E3 iA 2908 Par" s Ct-
pa,
8057-(a
Applicant Name Address
Cty/Stae
ap Phone
Contractor Uc #A4229 Address
(ty/State
ap Phone
XESS4 A .QA?FI/o0P6P- 42-9 V/C714 AZ AM
C0 8VQW �0 ipb7r-d9k0
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ❑ Flare XXeport
sa/estaxnronbe.trregre9edeyadav,4ractax
Are you paoV with Vw bug am=V 'yes O No
Is this a resldentlal or commet ial project? X Residential 0 CorrNr sixial
If reddential, is it ❑ Single Family Det wheel 17 Condo/xrtrlwrtre (skoe family attached) ❑ Duplex
O Multifamily (apartmm t) ❑ Garage
If comrnerclil, is;t 0 Bank O Bar O Church O ttuMgfflotei 13 Medical d roe E3 Offke 0 POW
O Restaurant E3 Other (explain)
Is this building 50 years of age or more? O Yes ONO ffyh )ovmRyneadm at ch'tBstbricRe rtetiTcn
If this is for a demoNtion permit, what year was the building constructed?
D°pnwW1975,you sW1need anashaZeSW WfiftiChM
970
*If lawn sprinider/baddiow preveneer, must HA licensed plumber. If first-time Mr. mu8t Bet h - , w electrician.
Subcontractors L&due company name ar Cy ofRC Ahs&*&m i
GeWtdan Plwnber ftcftJEI2,XT other
I hereby xbowledge that I have read this application and state that the above kftTna?Jon Is complete and con I agree to
comply with all requiremhenis contained herein and city ordinances and state laws regulating bung construction. I Icrrorhr that a ,
permit Is not valid until it has beat pad and ism red.