HomeMy WebLinkAbout3013 Carrington Cir - Applications/Reroof - 08/11/2014Aug 11 1412:32p
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Fort CoRins
Ciof
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
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). E7 Air Conditioning
❑ Demofllon (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Peltet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # Lit I
Date t' ' yr.
For ofike use only
Sob Site Address {rW& ad)
Value of Consibnction (labor, materiaL% profit)
U l
Property Owner Name
Address
City/State Zip
Phone
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Applicant Name
Address
City/State Zip
Phone
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Contractor
Address
Gty/ate Zip
phone
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Contractor City of FL Collins Sales Tax 4
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Are you paying taxes here or by report? ❑ Here
❑ Report
Sa/estax nnnrbertvrawkedbyapmnbactom
Are you paying with your trust account' es
❑ No
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Is this a residential orgnmercial project? kResidential ❑ Commercial
If residential, is it Single 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 ( ain
Is this building 50 years of age or more? O Yes o Ifyes, you mayneed to contact Matoric Phmerralion
If this is for a demolition permit, what year was building constructed?
ffprior to 1975, you wT/nmd an asbestos c7zezment to su&7& with b* app/icMv/L
hn of work
*If lawn sprinkler/b preventer, must list licensed plumber. if first-time A/C, must Ist licensed electrician.
Subcontractors: LLst Me oamparry nanre or Qi'y of Ft Caftw dcense if
Bectridan Plumber PledImIcal Roder 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 - -; ined herein and city ordirkwmes and state laws regulating building construction. I know that a
penult Is not valid until It has been paid and Issued. /
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