HomeMy WebLinkAbout830 Bonita Ave - Applications/Reroof - 06/30/2014Jul. 18.- 2014 12:05PM Four Star on the Hill
No.118'0 P, 1
ort Collins
01cl1,03
Planning, Development ikTransportatlon
281 N. College Ave p,o. Box s8o
Fort Collins, CO 80524
Phone 970-416.2740. Fax 224-6134
OVER,"THEmCOUNTER PERMITS ONLY
This application Is to be used to apply for the following permits only (check all (hat apply). O Air Conditioning
i] Demolition (interior non-slruolural) C Electrical Alterollon (not service change) ❑ Gas Lighter O Gas Log
O Heating Unit a Lawn Sprinkler 0 Mobile Home replacement OI Roofing o Sewer Line ❑ Photo-vollolo
* Ventilation r3 Water Healer 0 Water Line ❑ WoadlPellei Stove (must be EPA cerliffed, provide make, model and
manufacturer).
Complete all applicable Information on the application, Incomplete applications will not be accepted.
.Application # &'--1 n1� i Date f,/nmou
For oh9ee use only
Is this a residential or commercial project? Q Resldentlal 13 Commercial
If residential, Is It; M Single Family Detached . M Condo/townhome (single family attached) ❑ Duplex
11 Mult►family (apartment) ❑ Garage
if commercial, is it; O Bank 17 Bar ❑ church 11 Hote)/Motel q Medical office ❑ office ❑ Retail
Q Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes q No Ifyes, you mayneed to conmetHlstortc preservatkh
If this is for a demolition permit, what year was the building constructed?
If prior to 19750 you w!l/need an asbestos assessment to submit ivieh this application,
Description of work
*If lawn sprinkler/backilaw preventer, must list licensed plumber, if first-time A/C, must list.11eensed electrklan. w
Subcontractors. IN the eompanynameerC/tyofftColNns//ronse,0 -
elettdclan plumber Whankel— Roofer
IR?214 Other
I hereby acknowledge that I have read this application and state that the above Information Is complete and correct, i agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction, x know that a
permit Is not valid uhill it has been paid and issued,
Applicant:
Print roams; Signature Scott Hn man , _ Date. VM014