HomeMy WebLinkAbout3909 Yosemite Ct - Applications/Reroof - 10/15/201410/28/2014 3:34 PM FROM: 9702081701 TO: 9702246134 P
City of Pumming, Dowasopme"t & Tvangportatkm
281 N. College Ave P.O. Box 580
F6rt CoWns Fort Collins, CO $0524
Phorve 970-41r�2740 Fax 224-6131
OWR-THE-COUNTER PERM fTS ONLY
This aWleation is to be used to 2PPtY for thQ IFOHOVAng Permits Only (Cfmak all that apply). 0 Air Conditioning
0 Demolition (interior non-structural) 1:3 Electrical Alteration (not SWvice change) 0 Gas Lighter 13 Gas Log
13 Heeling Unit E3 Lawn Sprinkler 0 Mot>ile Home replacement ;KRoofing 0 Sewer Line 0 Photo-vollaic
0 Ventilation 0 Water Heater 0 Water Line 13 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer),
Comvlvte all applicable Information an the anplication. incomplete apolicatkma vd4li not be accepted.
Application # 13IL411 032 Date 12 -7, (Ob
J" Site Address (f Wulf ed)
Value of ponstruction (labor, materials, profit)
�-2
J1'
Property Ovqner Mime Address city/state Zip Pfxxie
Ap Name Ad
dress city/state ZP Phone
r 1 �-3
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Contractor Address aty/State ZIP Phone
Jtill S C2-S di I ZL 25L-S-3 -1 'Z4 L,
Contractor GAY of ft- Comm Sakes Tax 19 Are you PRYIng taxes here or by report? PHere E3 Report
sates ray Ate YOU paying with yutw tnist a000unt?`,Yes 0 W
IS OvS a residential or commercial project? OReSidential C3 ConwvwncJW
If residential is it; Cl-tingle Fan'dly Detadmed 0 CorvcjqAom*"ne (singie tamity attadwvj) L3 Duplex
E3 Multifamily (apartment) 0 Garage
It commercial, is It: M Bank 0 Bar 0 church 0 FlbWmotFA 0 Medlcal office 0 office E3 Reti5j,
E:3 Restaurant 0 Other
Is this building SO years of alia or more? E3 Yes do ff yes, year 17W need to 27�hystmrfc jvreservwvo
If this is for a demolition permit, what year t'Ujilding oortsUjKjwj?
ffpr� to -1-975,7 you w#1 treed an tgbeyW5- aggeswxaor to submir WV) &W5
Description of work C-1;
*if lawn 51xvWff/bft0dI0W PreVenler, muM Ust licensed plumbw. If first-time Atr- nx.%!t List licerned etectridan.
Spbvonback�- LbQt tfx e:xrgmrnY name rx Oty iv'Ff CoAkS /Aam - 0
Bearld--- PFIYT1bar NW&WOOM-RooFrs Other
I heffetyY a<S9vD%vh5K$qe that I have read this application and stake that the above buiormatton is complete and correct I agree bD
=mply with afl lequlverrrerrt9 contained hmvM and My ordlnanr.$ and Stata laws rem b,9 oxsAnsetiwr. I know that a
pe"nit is rrot vam u2m" It ha oftd losu®d
Appg--vtz
Pr&wt Name:.-