HomeMy WebLinkAbout2430 Cucharas Ct - Applications/Reroof - 03/05/2015Mar, 5, 2015 11:30AM ADVANCED ROOFING
No,8114 P- 1
City of
Pfanningr Development & Transportation
281 N. College Ave ?,C, Box 580
Fort Collins, CC 80524
�;ihione B70-41 fi-2740 ? ax 224-5134
OVER-THE-COUNTER IDERMITS ONLY
This application is to be used to apply for the ioliowing permits oniv (c-heck all that=pply), L ' Air CondHonino
:.J Demolition (irltarior rlon-structJral) �1 EicCu'icaf Alteration (nct service chance) E: Gas-igjihter � has L oC
Heating UnitLawn Sprinkler Mobile �Ome .-cofacam6,it ,--_I Rooting i2 Sewer Lirie r Photo-vcitaic
Ver•,tflation Q Watar Hatter ❑ Water Line 1 i OO&PSIlet Stove (must be ��A certi iad, provige ,, T,aka, medal and
manuracturer).
Complete all applicable information en the aprilcation. Incompleis applications will riot ]a ac a —+
App1icaton : ��_ 1 �-{,S � _
For of'rc_ use an/y
'cb Site Address
oii.Q rr: ,. ti5ir (k'bgf, ;•,$t?rlalS, � rC,IL)
Propery Owner Name Address City/c? a�`F�p��ir 7, �S- o
4 �-�- Ys -, �bS Phone 9 7
pilcant bZrnsa P.OdF ruC� Address CityjS�te Zi;v, Phone
c-ds _94S6 SRc UJ iry s� cv rJS�
Cgnt,ocor Uc 1 Address Cry/5t=e Zip Phone
ConaaCt4r City of Fr. Collins Sales Tex = Arm -you paying taxs her= or by repo? Here C
ago5lo Repo
sa/es� rnum6erisruiraD3ya/Inrscror_ Are you paying wig your z ust acroun? D Yes El No .
is this a residential or commerclaf projer^? X Residenu2i Q Comrierdal
li 'resideride1;•is it:••Single"Far,iiy petach`d" : �.1'l=Di1Ci0 iOWni �OITIE 31i1;^ . *�... •i ='-�r•� �i! •-
- � ( =1e dami,y a�:�_i_..) 17 D'uolez•
❑ Mulcfzmiiy (apartment) 0 Gzrage
h commercial, Is- it: Q Bank El Bar ❑ Church O iiotel/hlotel ❑ Medical OFF-,'ca rJ'Cfice p ,^- •ail
El Restaurant ❑ 06er (explain) �
IS u}is: building 5a years of age or more? Yes No If yes, ycu mzynaey ry contac<h/stoic ?, z�err& �'
If this is for a demolitich permit, what year was the building constr uczd?
Ifpr,'on to 197S, you will r7eee a17 asbes<es 26!�5essnient ;A submit w/t,h Eris appll�t;cn.
Description or work
r
*11 iawn sprn4er/kc-Vilow Nrevert`r, must list licensed plumber. If first-time A/C , � l � � ,'•. "i'14sZ Ilia IC..1isa"I a;e,.::icicrl.
Subcmn1ractors; Li5ttnecOn;PffryncMnea/-Q/erFcCo.//irT&Ens,_
Eectgden P1urber.
Stec brlczi RCDIer /�4F��Other
Thereby acknow?Mdae�wlat 1 have reed tiiS 2•rPkatlon and state Viet the 2boVe infor nation i5 ccr5piere cnd Con act. 1 cGrce tb
coriply with, 211 rEQUIr_r lend CCnLiRNd nere:n and c;y ordirar,Cs and Svte laws r:;ulatng Wui(cirg cars„r JCaOn• I know that a perm is rct Valid until it has been paid and issued.
APPlicart: � a p _ _7�
PrintNarne: -I'f 1�cES �l� Signa[1r= 1 Deta _� - X