HomeMy WebLinkAbout2502 Timberwood Dr - Applications/Reroof - 09/04/2014N
i1 S* Planning, Development & Transportation
4r 7v 281 N. College Ave P•O. Box 580
" Fort Collins, CO 80524
55.I 5SQ Phone 970:416-2740 Fax 224-6134
vv TER 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) 0 Electrical Alteration (not servCe change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ARooflng ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ 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 4V W RO Date
For alike use only + ��
IS this a residential or commercial project?e`side�n al ❑ Commercial
If residential, is it: ❑ Single Family Detached J�'Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) dddd Garage
If commercial, is it: 13 Bank ❑ Bar Q Church El Hotel/Motel ❑ Medical office ❑ Office 11 Retail
❑ Restaurant ❑ otter. (explain)
Is this building 50 years of age or more? O Yes o rf ye8, you may need to contact Historic Pmvseruaticn
If this is for a demolition Permit, what year was the building constructed?
If pnor to 1975, you M7/need an asbestos assessment to submit with this application.
*If lawn sprinkler/baddiow preventer, must list lice sed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or aty of R Collins Ncenm �
Electrician Plumber. Mechanical Roofer Other
I hereby acknowledge that I have read this application and state that the above Information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
ri Print Name;, o 6Y Signature '.: Y !/.�'�� pate 6 �wlc
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