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.
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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