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HomeMy WebLinkAbout4027 Stoneway Ct - Applications/Reroof - 07/31/2014City, C281 N. College Ave P. Of''�� Planning, Devebpnient & Transportation F6I ` Vttins Fort Collins, OD 80524 O. BoX 58Q Phone 970-416-2740 Fax 224-6134A 12,3. 23 OVER-TH&COtINTER 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 service change),.❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement a Roofing 0 ewer Line ❑ Photo -voltaic ❑ Ventilation O Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable Information on the application. IncOmplete applications will not be -accepted. � Application # I L4'& S thJ For of ba use ony Date -7- l - 1 � lobo Site Address (mquhad) Value of CWSII; el (Labor, materials, profit) V -)p h g 2- Property Owner Name Address (3ty/Statte Zip phone 1 - 1C711�I't '-. Applicant Name Address City/ratabe Zip Phone Contractor Address city/state Zp phone TA 6s-rYqL twL Gugf-to U%k, cvQ ?0538 j jj--`l i Contractor City Of FL Collins Sales Tax # Am you payiing taxes here or by report? 0 Here 0 Rgort Sates awnumbertsregmadbyall qwgractom HS 83gi Are you P&Ying with Your trust account? ® Yes ❑ No Is this a residential or commercial project? g Residential ❑ commercial If residential, is it. 0 Single Family oeWched Cl Condo/townhome (single family sttachec) ❑ Duplex 0 Multifamily (apartment) . 13 Garage If commercial, Is it 0 Bank 0 Bar 17 Church O Hotel/Motel ❑ Medical office 0 Office ❑ Retail ❑ Restaurant ❑ Outer (explain) Is this building 50 years of age or more? O Yes • No ' Ifys% you may need m av)M t N&Wc Pn sart-v l w If this is for a demolition pernft what year was the building consbixhed? Ifprior to 194 YW W#need an 8S62SWS assfrnxvft 10 MAMC wlttr 6* 4WAa OA _ S`Tt)1Z� 2 1 a u4RF�S *If lawn sprinkler/baddiow preveneer, mum list licensed plumber. If first -tine A(C, must Cud licensed electrldan. Subaontswwrs: LW the company name or ofRCa*N &vmv 0 artrmber vied-" sl Roofer . R,— IS / 0 _ Otter I hereby adumledge that I have read this application and state that the above Inflomm ion Is complete and correct. I agree to Comply with all requirements contained herein and city ordinances and State laws regulating building construction. I know drat a permit Is not valid until it two been paid and issued. Print: Nam: �6bC`t �. Ud'rC .Signature Y ""—ODig 'Su 06