HomeMy WebLinkAbout1550 Reeves Ct - Applications/Reroof - 10/31/2011Oct 31 2011 3:07RM HP LRSERJET FAX
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ClpColl�ns
Planning, 04"FaloPment A TrOnSPortadon
281 N. College Ave p,O, Box 5e0
Fort Collins, 00 80524
Phone 970.416-2740 Fax 224-6134 17(o�
Thle aPvilatlon Is O, VER TffE_COUNTER PERMITS ONLY
❑ DemoiiBon (Interior non-etruot pP y Nr the following permit&
O Hearin �) 11 Eleotrical Alteration (not only (°hook an that aPPIY), 13 Alr Condhioning
g Unit ❑ Lawn Sprinkler O Mobile Home re 1 ae a change) ❑ Gan Lighter. O Gas Log
❑ Vonblation Cl Water Heater 0 Water Line p W P "ment oofing ❑ Sewer Line O Photo-
manufticfrifer). ood/Pellet Stove (must be EPA certified, provide make, amodel and
Complete all a"lleable information an the appUcatlon, Ineonlplete Application # epplMetlona will not be acueprted.
For a91kr usr only Date l U
Job ate Addtwa (re�ptdrpd)
iZ V S Value of Conobvetion (tabor, matarialc, profit)
Property Owner Name "Address
Applicant Name Address
Contractor Uc # iz Z Address
Contractor City of Ft. Collins Sales Tax
SaAer rai mimbertrnirTr�rsorbyaerx
City/state zip P
cz C
Cl�`/Stabe ZIP Phone
City/State ZIP Phone
' `�' ��s • s�•7 3
Are you payln9 taxes here or by report? M Here o Report
Are you paying with your trust account? des
1111 No
Is this a rasldentlal or �co�!pm'►erdal project? Resldentlai O Commercial
If residential,
Is It !1T'Slrlgie Family Detached ❑ Con
❑ MukftrrJ do/townhome (single family attached) ❑Duplex
Gare
If commercial, is It ❑ Bank 0 Haar ❑ CChurth ❑ HoteVMotel t 3 Medical of"ce ❑ Ofnce ❑ Retail 0 Restaurant O Other (explain)
Is this building soriero of alga or morel O Yes I7 No llrm yew may new ro cW&KrN/stvncPMrvaCavr
If this Is for a demaddan permit, what year was the building constructw
lrp brW 1975, ytw ► 1 need an s ass�essrrrent la sr t>m!! w/dr th/s aPO1/caLbn.
Description of work
*If lawn spinlder/badQlow preventer, must list licensed plumber. If first-time A/C, must list licensed eiecbiclan.
Subcontractors: LLit Abe terry same or sly of R Co/Nns /lcsvrse• x
Electrldan Wumber
Mechanical_„, Roofer
Other.
I hereby adulowledge that I have read this application and state that the above information Is complete and com*t. I agree to
comply with all requireanerits contained herein and city ordinances and state laws regulating building construction. I know that a
permit If not valid until It has been paid and issued.
Applicant:
Print Name: Signature Date (L /