HomeMy WebLinkAbout2649 Bison Rd - Applications/Reroof - 05/12/2014MAY-13-2014 08:29 From:advancedexteriors
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OURD-IFLE
To:9702246134 Paee:1/1
planning, Developn".t & Tra
281 N. College Ave P.O. Boot 58p PortaLon
Fort Collins, CO 80524
Phone 970:416-2740 Fax 224.6134
Thia application Is to be used to apPi� for the PERMITS ONLY Fee s123. z.3
Cl Demolition (interior non-structural) O for the f plowing permits Only (check all that apply). O Air Conditioning
g Lawn Sprinkler ❑ Mobile Home replacement Mae change) O Gas Lighter 0 Gas Log
❑ Ventilation 0 Water Heater C7 a (must g p Sewer Line 0 Photo-vo
ltalc
manufacturer). Water Line Wood/Pellet Stove (must be EPA certified, provide make,
model and
Complete all applicable informatlon on the aPpticetion, tncom
Application # �l-} � $$ Ply ePPitcations will not be ffa"Pted_
Faiomo°,, o„h, Date _ 5 / j ?i� IQ
Sob site Address.(mWmd)
Prq*1tY Owner Name
Applicant Name
Contractor Uc # Z l I
Value of construction (labor, materials,
f-®-e- Z,1 Cp
Address CRY/State
,O Zip Phone 470
Address
Zip Phone
Address ?,,W0 S city/State Zip Phone
11 , r\
.Conbacoor City of Pt. Collins sales Tax # X � lJ ® 671
s9�psU.rgrmewan�w,ayty qy, Are YOU paying taxes here or by report? t8 Here O Report
Are You paling with your trust account? 0 Yes G11 No
Is this a residential or �erelal project? Residential 0 Com
If residential, is ft: fili•Single Family Detached p°
Co merciai
t7 Multifamil a nhO^e (single family attached) p Duplex
If commercial, is It: d Bank t] Bar Church 0 Hotel/
0 Restaurant ❑ Other (explalMotel ❑Medical officeO MoeO Retail
Is this building Sm ypara Otago or more? O Yes 4 No If yes, 'KW rmy„ to cOntad H&"* Presdry bb"
If this Is for a demolition permit, what year was the building constnicted?
1/pNor tb l9n yptr WO need an aybeqWsr es>%rnWt to svbm/t Ki" d* 4wlcabba
Description of work Ke r`o
su lawn sprinkler/bacldiow preventer, must list licensed
If first-time A/C, must list IlcenSed electrician.
Subcontramrm: L&t Me company AWN or City of It Col#rrs #aense d
Bectrtdan Humber
Mechanical_ Roofer � Other
a lmo r w%WJWvv a um a nave reap this application and state that the above Information is Complete and Corned, I
=n* wRh all r W'ramerms contained herein and city ordinances and stets laws to
Permit Is flat valid until it has been paid and issued, regulating building construction. I know that a
Applkena QN
print Name:y�j Signature
Veto 5 y