HomeMy WebLinkAbout2018 Devonshire Dr - Applications/Reroof - 08/05/2014To: Page 3 of 8 2014-08-04 16:49:07 (GMT) 18888372137 From: Steve Arends
City of
Fort Collins
Planning, development &.Transportation
281 N. College Ave P.O. Sax.580
Fort Collins, CO 80524.
Phone 970-416-2740. Fax 224-6134
AVER -THE -COUNTER PERMITS ONLY
This application fe to be usedao apply for the following permits only. (check all t a I
tha_ PP Y)• ❑ Air Conditioning
Complete all appllCable information on the application. Incomplete applications will not be accepted.
Application # V N D Date
For aloe use only —
Sob Site Address,(Wuirea)
�( OYI 1 L 1� C�Di IY�S
Value of Construction (tabor,. materials, profit)
co q6z
Property Owner Name Address
City/State,
Zip
Phone
Ln . r (Ira
NYS
CD $D525
411D-1.9
Applicant Name Address
City/State
Zip
Rhone.
aim
ACostrtoracAddress
r COW. i
City/State
CAUM
Zip
Phone
-M-25p
.:4.
CD 765Z5
Contractor City of.Ft. Collins Ies Tax #
Are you paying taxes here.or.by report?
Here. ❑Report
&7%jaxxnnumber isrequired by- all runmacrom
Are you paying with your trust.account?
Yes ❑ No
Is this.a residential or commercia{ project? Residential ❑ Commercial
If residential, is it:tSingle.Family Detached ❑ Condo/townhome (single-family attached) ❑ Duplex
Multifamily (apartment). ❑ Garage
If com?nercial, is it: .❑ Bank. ❑..Bar O Church Q Hotel/M6tel Cl Medical office ❑ {Office ❑ Retail
❑ Restaurant ❑ Other (ex I inj..
Is this building 50 years of age onmore? Yes No. If yeg. you.may need to contoct Historic Preseruabon
If this. is for a demolition permit, .what year was the building Constructed?
Ifpnoi to 1975, :you -will need -an asbestos assessment to submit.with .this application.
Description of work Y -10
&givillres
*If lawn sprinkler/backfiow. preventer, must.list'Iicensed plumber. If first-time A/C, musciist.iicensed electrician.
Subcontractors: •List the coMbany name or City offt Collins license
Electrician Plumbei Mechanical___„_. Roofer Other
Ihereby 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: 3 know.that a.
permit is not valid until it has been paid. and issue, d,
Applicant:
Print Name:"eyc Y� ds- Si natu (�
g Date 7i�W ��—