HomeMy WebLinkAbout2517 Stanford Rd - Applications/Reroof - 08/15/2014Aug 1614 06:13p p.7
planning, Devel0prtenC1k 1r4alsov--'--
281 N. College Ave P. !Box 580
clity of Fart Collins, CO 80524
Fdvt coliin5 Phone 970-416-2740 FV 224-6134
i
OVER-TijE-COUNTER PERMITS a NIL. ❑ Air Conditioning
applyfor the following permits only (check all❑ G � fighter 17 Gas Log
This application is to be used to,)[
❑ Demolition (interior non-stN°tufial) ❑ Electrical Alteration (not ser+rRo change
rovide make, model and
C] Heating Unit ❑ �� Sprinkler Li Mobil Nome replacement 13 Roofing ❑Sewer One. ❑Photo-vo{taic
❑ Ventilation Ci War Neater ❑ Water Line ❑ Wo°�pelfet Stove (must be EPA fions w certlld.
not be accepted.
Manufactu0 atibn o e-
re pplication. Incomplete applica
Complete all a pli abl i f�
Pi Date. i
Application # l�
For office use Onty bor, materials, per)
Value of ConstructsOn (�•
]ob Site Address (required) O�
Cty/sue Mp Phone
OwAddress ? S - Sv
owner Name
Property < k
J41� %M� A� (•. ZIP Phone
Address �ty/Se II
Applicant Name ! 4 47 0--6 4
'U� 4 Phone
l Zip
h
Address �'/�
Contractor
Contractor Oty of FL Coils Tax # ❑ NO
Are ll� PaY'n9 wltfl Your trust:�av�nt?' Q&Yes
sales &xnumber is requusd by aff confrI 0 77
i
Residential 13 C.ammordal i 1
Is ttils a residential or commercial project? le famil at;Sad led) ❑Duplex
If residential, is it Single Family De{iched ❑ Condc/t:awnhome (sing y
p' Multifamily (apartment) ❑ Garage I
If commercai, is it: ❑ Sank ❑ gar (3 Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ other (explain)
is this building 90 years of age or more? Cl Ves VWo If yes you may need to Cohtaat HfSWC PlEse va
if this is for a demolition permit, what year was the imilding constructed?
3fp far to 1975, YOU WIli need an astresivs assessment to submit' with hys apfpllLadon. i
Description of work
*If lawn sprinkler/backflow preventer, must Ilst licensed plumber. If first-time A(C, must list llch sed electrician. '
Subconbactorsi Lf5r Zile Cal pan)rname or oty ofFeCofhlnshkmse o
Eiedridan Plumber. Merhalral Roare I Other
I hereby acknowledge that I have read this application and state that the above information ifs cbmplete and coned I agree to
comply with all requirements contained herein and city ordinances and state laws regufaft binding construction. I know Mat a
perrn t is not valid until It has been paid and issued. II
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