HomeMy WebLinkAbout2706 Appleton Ct - Applications/Reroof - 07/25/2014City of
F&I Collins
Planning, Development 2L Transportatisn
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER. -THE -COUNTER PERMIT'S ONLY
This application is to be useDto apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-strintural) ❑ Electrical Alteration (not service change) 0 Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprl&er ❑ Mobile Home replacement %Roofing ElSewer Line. El Photo -voltaic
❑ Ventilation ❑ Water Heater D.-Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
.manufacturer).
-,Complete all applicable infcsrnation on the application. 'Incomplete applications will not be accepted.
APPlication # ISI-0+-195- ' Date
For office use
Job Site Address (required) Value of Construction (labor, materials, profit)
a
.Property Owner Name Address
City/State Zip
Phone
Applicant Name Address
City/State Zip
Phone
G\A SIN,,
Contractor Lic # Address
City/State Zip
Phone
39 s- 046
Contractor City of. Ft. Collins `5erk.. Tax #
Sales t3xnumber Isrequired by�cvrractors.
L\\ t
Are you paying taxes here or by report? Here p Report
Are you paying with your trust account? } Yes ❑ No
Is this a residential or commerCallproject? -Residential ❑ Commercial
If residentiali Is It: ingle;Family. Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Mulffary(apartment) ❑ Garage
If commercial, is it: ❑ Bank 0 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑. Office ❑ Retail
❑ Restauma t. ' ❑ Other (explain) -
Is this building 50 years of agaer Snore? .0 Yes 18-,No Ifyes; you may need to contact Historic Preservation
If this1s.for a demolition permkz what year.was tfie building constructed?
If prior to 1975, you will need vasasbestos assessment to submit with this application.
of work
J \
TIf lawn sprinkler/backFlow prever, mu Mist licensed plumber. If first-time A/C, must list licensed electrician.
subcontradtors: List the comparLrname or City of Ft Collins license #
Electrician Plumier. Mechanical Roofer R, - \�Other
I hereby acknowledge that I haveRad. this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city, ordinances avid state laws regulating building construction. % knolyv that a
pumit is not valid until It has5een paid abd Issued.