Loading...
HomeMy WebLinkAbout414 Riva Ridge Dr - Applications/Reroof - 09/08/2014Sep 08 1410:38a Apex Gutter, Inc. (970)484-2883 p.1 City, c f Planning, Development a Tresporlation 281 N. College Ave P.O. Box 580 Fort C olifinsr C0 S0524 Phone 97"1&2740 Fax 224-6134 �g OVER-THE-COUNTER PERM17S ONLY This application is to be used to apply for the follwaing permita only (cheat aU that apply). 0 Air Conditioning 0 Demeiltion (ttttsdor non-structural) © Ek cb=l Aiteralion (not service change) E3 Cos Lighter 13 Gas Log 0 Healing Unit 0 lawn Sprinkler 0 Mobile Home replaceirient ❑ Roofing E3 Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line a WoodlPellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application # 4b`�33v Date Foro6w zw only Sob SM9 Address (squired) Vahm of Construction (tabor, materials, pruftit) ` % -i R.iV o.. � i ca e .���Je $ 0Q)z) Property Owner Name Address Mute ZP Phone MicV\o-e,\ WoodevPl� 4 Ni ?'wc' Qid e Dr. Fov'- Cb%-Vw'S CO yrava 2'IS-550-1 Applicant Name Address Cr1y/St3te Zip Phone Ape. cv l Z0,%\ F�. Collins CID ` IC)522. ya y--19t3 Contractor Address My/Shft ZIP Phone Apex ZM\ Ft. Coo: ns ec `boS�Z ��r-�► r -igc3 Contractor City of FL Collins Sales Tax # Are You paying taDoes here or by report? CI Here E3 Report Salestaxnumt�resraar ue�vyamm� Are you pWnq wlh your bust aocDww ❑ Yes ❑ No is this a residential or oDnmerraat piviect� Pfttesderriial E3 Commercial Ifresidential, is it EI Sngie FamIV Detached ❑ GwwWbownbome (single family attached) 13 MWIM0' ❑ Multifamily (apartment) 0 Garage Ile rf cflsnmercial.. Is it: f3 Bank C3 Bar © Church 0 Hotel/Mate} l7 Medical office 13Of m 13 Retail 0 Restaurant ❑ Other (explain) Is this building 50 years of age or moree ❑ Yes 13 No oyrs, you mayneed to wn&m tAEs&vlcPre evafton N this is for a demolilon penes% what Year was the buifdIng cDnshXbed? IfPwrta199'.� jovnoneed ana amBonenflpsurbmRwithffrlsappffcwm Description of work *If lawn sprinlder/bacidtow Preventer, must list 11=9811 plumber. If first-time A/C, must list Iroensed electrician. Subwmrasbur�[istthecampanymameorL�rofRCallbssBagrse�` i7--11`'� ghmiridan Plumber Medonhal Rooter -eti W-2- other 1 hereby adaroMete that I have read this appMon and state that the above Wormafion is complebe and aorrecL I agree to comply with all requiremem c maimed herein and dip wi*wees and stale caws regWating buftng mnshuchDm. I brow That a permit is mat valid until it.kw bow taid and imued. 11 w. Appllrant.' Pint Narn+ tA 1 G1ncLe.\ 'QE,in sign -�-- t