HomeMy WebLinkAbout3518 Stratton Dr - Applications/Reroof - 11/11/2011Planning, Devaloprrent & 7
281 N. College Ave P.O. Box
Fort Collins, W 80524
Phone 970.416-2740 Fax 22j
OVER-THE4.=NTER PERMITS ONLY,
This appU=Uon Is to be used to apply for the follewing permits only (check aU that apply) G Air I andidoning
v�i e
❑ Demolition (Interior non-structural) O Electrical Alteration (not serchange) O Gas Lighter ;0 G s Log
13 Heating Unit O Lawn Sprinkler p Mobile Home replacement U Rsormg O Sewer Une 0 Pit c
❑ Ventilation O Water Heater p Water Line ❑ Wood*Wet Stove (must be EPA certified, provide ma a,mode! and
manufacturer).
Complete all awUmNs hdarmatlom on the appfieathm. IneOMWebe applications w1U not be iccalled.
Application # 4/7 r ��Daft -- / I- l (- f I
lob Site Address (109vt d()
VWUQ of Como n (labor,
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Property Owner Name
Address
city/slate ZIP I
PhonegZO
Applicant Name
Address
City/State ZIP
Phone
C&Wacbor
Address
City/Slate ZIP
Phone Zo
- aar
a a `� i'�ou4lo
i 54-76 3
Contractor City of FL Collins Aes
Tax #
Are you paying takes here or by report?
t] FW*d
saisrax�grr�dbyairas►trs
Are you paying with your bust account? A Yes
o
Is this a resldentlal or commercial Project? KResidentlal O Commerciel
If residential, is it: O Single Family, oetached O C.ondo/townhome (single family amK hed) 0
O Muttifamtly (aperirrm t) ❑ Garage
It commercial, Is It: 0 Bank 0 Bar 0 Chumh 0 H~4otel O Meds W office O office ❑ Rri
0 Restaurant CI Other (explain
is this building 50 years of age or more? O Yes o ffM you may nead to Cx1W hG9M P
7 this Is for a demolition perm~ what year was the building constructed?
lfpribr ro 1974 yw wX reed an astiawnwrt 0 subrm t m* ift awmw& .
c�J
w: ra r,-tt.it f
*If lown sp WderMddlow preventer, must list roarsed plumber. If nra-ame A jq must ibt licensed eiec wod .
Subaon vcbws:ListdxawnpranymmwaraWbfR cai a
r3e�trrdan Plumber mWwkjL. r:oater 'OZ-AQ3
I hereby admmledge drat I_ have reed this application and stabs that the above hdbrmatim is mmplPte and odffw I agree 10
comply with all requirerrterts contained herein andd city ordlnanoes and state laws reguli ft building wrffirudtbn. i that a
penrrri im set valid until it tsars been paid and lamed.
prlrlt IValru