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HomeMy WebLinkAbout2957 Sunstone Dr - Applications/Reroof - 08/08/2014Planning, Developmmt & Transport tlon F^} •1� 281 N. College Ave P.O. Sore 580 Cotfi 1J�' 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). ❑ Air Co ditioning © Demolition (interior non-structural) ❑ Electrical Alteration (not service change) 13 Gas Lighter ❑ Gas og ❑ Heating Unit 0 Lawn Sprinkler C Mobile Home replacement �ocfing Q Sewer Line ❑ Photo-ve c ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stave (must be EPA certified, provide make mode! and manufacturer). Complete all applicable information on the application. Incomplete appli dohs will not be accepteL Application # Date / For offce use only 30v Site Addi-ess Value of Construction (labor, materials, rofit) :�957 _bsL, $ l Property Owner Name Address City/State ZIP q 7 one l a N_ryiL� i-^. �L ZZ 41 q09 Applicant Name Address city/State Zip R ne I a ti 391�f ARiLttc '. 2-S 9�o zt, & Contractor Lic 9 Address Gty/State Zip P one � ContraVoor City of FL Cdt6 Sales Tax Are you paying taxes here or report? by epart..0-Here ICi Report -s nwztdr+stww?edai'a's Are you paying with your trust account? I3 Yes 10 No Is this a residential or eommerrial project? ZrResldenttlal ClCommercial If residential, Is it: Plingle Family Detached ❑ Condo/townhome (single family attached) 0 Duplex Q Multifamily (apartment) a Garage If commerdal, is t. ❑ Bank ❑Bar 0 Church i7 Hotei(Motei ❑ Medical office fO Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑ Yes Ja'No Ifyes, you mayneed to contactffistarfcprese, veiVo If this is for a demolition permit, what year was the building constructed? ifprior to 1975,, you wAl need an asbestos assessment to submit w th this apprption. Description of work *If lawn sprinkleybaciciow preventer, must list ficrn•e_ed plumber. If first-time A/C, must list licensed electrician. Subcontractors: L& b4e crmpany name orGtyofFr ins /erne # Elechcian Plumber Mechanical Roofer Gther I hereby acknowledge that I have read this application and state that the above information is complete and correcL I a ree to comply with all requirements contained herein and city ordinances end st_te laws regulating building construction. I knobv that a permit is not valid until it has been paid and issued. applicant: ` Print Name:_ - _ �f1t..��'f Signatu U ✓`` Date fi"y I Z-d £6L£-899-OL6 uoBeJed