Loading...
HomeMy WebLinkAbout2650 Autumn Harvest Way - Applications/Reroof - 08/15/2014Aug.15. 2014 7:20PM Bob Behrends Roofing No, 2117 P. 1/12 Planning, (Development & Transportation City of 281 N. College -Ave P.O, Box 158o F6rt ol Fort Collins,CO 80524' ` Phone 970-70-416-2740740 Fak 224-6134 Q .yTHEmCOU TER PERMITS ONLY This application Is to be umd.to apply for the following permits only (check all that spplj ). ❑ Air Conditioning'- - Cp Demolition (interior non-strimural) © Electrical Alteration (not service change) El Gas Lighter ❑ Gas Log * Heating Unit ❑ Lawn Sprhkler ❑ Mobile Home replacement %Roofing 0 Sewer Line. ❑ Photo -voltaic ❑ Ventilation Q Water Heater 0 Water Llne ❑ Wood/Pallet Stove (must be tPA cartified, provide make, model and ..•manufagturer). • Complete all pplEcabie o n-anon on th�e.appllcation. ' Incomplete applications will not be accepted. AppI cation Date , use" *�•1/. �. �`�' . [t5obite Address (mqui?&) Value of Construction (labor, materials, profit) .property Owner Name Address .City/State Zip phone Applicant Namt Address City/State Zip Phone Contractor Lic # Address city/state Zip Phone r i1 Contractor City of.Ft, Collins v.A Tax # Are you paying taxes he a or by report? JI;tiHere Q Report salesbxnumberirlequhedby�9cer ectaEs �A\ h ?;'A Are you paying with your trust account? Xyes ❑ No Is this a residential or�.1c.�om�mem-Mproject?-1$Residential ❑ Commercial �cuP ' If residential; Is it:: fKjingleFatnily Detached CI Condo/townhome (single family attached) U Dupl S `�+ 0 MuirffaaW(apartment) 13 Garage If commercial, Is it: ' C1 Bank ®Bar ❑ Church 17 Hotel/Motel ❑ Medical office [?.Office ❑ Retail 0 Reshaur t. L7 dither (ekplaln) Is this building 50 years of ageor wore? U yes-Mo Jr/yes; you may need to contact Histor P.res& vadon If thls1s,for a demolition paKnkwhat.year.wasthe -building constructed? Tf plfor to 1975, you w/ll needmasbestas assessment M submit with this applIcation. of work *if lawn sprinkler/backflow•peeva ie' mcAt•llgt licensed plumber. If firsttime A/C, must list licensed electrician. Subco4ratl ors: List A4e cvntoWnamb or aty O/ft Gallins/Icense A Electrician Nun4Er•• Mechanical Roofer- Other. I hereby'acknbwledge that i havemad. this application and state th"ei above information Is complete and correct: I agres to comply with all requirements conhMed herein and city. ordinances arid state laws regulating building construction. 3 krsow that 8 permit is not valid until it htsgeen paid and isaue&