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HomeMy WebLinkAbout3206 Red Mountain Dr - Applications/Reroof - 08/22/2014ment ��CI�/ p 281 N iCollege Ave Fort P.O. Box 80sportation �t Collins Fort Collins, CO 80524 elm' Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning ❑ Demolition (Interior non-structural) ❑ Electrical Alteration (not servipe change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement XRoofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable Information on the application. Application # 14 For office use only Incomplete applications will not be accepted. Sob Site Address (required) Value of Construction (labor, materials, profit) 1® <:I� �o Property Owner Name Address city/state f4• &l%i4 Zip Phone 0� Applicant Aame Address City/State Zip Phone Contractor Address City/State Zip Phone Contractor City of FL Collins'gales Tax # Are you paying taxes here or by report? )'Here ❑ Report Sales tar number isrequ/redbyall conbactom Are you paying with your trust account? ❑ Yes N Is this a residential or commercial project? residential ❑ Commercial If residential, is It: tiingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, Is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑Yes OIL& If yes, you may need to contact Hstor/c Preservation If this is for a demolition permit, what year was the building constructed? Ifpdor to 1975, you will need an asbestx assessment to submit Wt h this application. Description *If lawn sprinkler/back iow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or aty of Ft colllns license # ©ectridan Plumber Mechanical Roofer Other I hereby admowledge 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. I know that a permit is not valid until it has been paid and Issued. Applicant: Print Nami 0