HomeMy WebLinkAbout1924 Ross Ct - Applications/Reroof - 12/19/2017 (3)Dec 19 2017 17:34 RTC 9707763741
page 1
..Fort Collins
This application Is to be
❑ Demolition {Interior non
❑ Heating Unit ❑ Lawn
13 VentlMlon ❑ Water Hi
manufachaer).
Complete all applicable
Im
Planning, Deve1W ient 8 Transportation Services
Community Deve opment & Neighborhood Services
281 North College Avei Kie
Fort Collins, CO 80524I Main: 970AIS2740 Fax: 970.224.6134
THE -COUNTER PERMITS ONLY
to apply for the following Its only (check all that apply). ❑ Air Conditioning
hurl) ❑ Electrical Alteration ( of service change) ❑ Gas tighter ❑ Gas Log
Jar ❑ Mobile Home *oofing ❑ Sewer Une ❑ Photo-voltalc
❑ Water Line 0 Wood/Pelle Stove (must be EPA certified, provide make, model and
the application. Irjcarnpkets applications will not be accepted.
a!_t� ��
Job Site Address (Aep *W)
1 Vakm of Construction (labor, ► vWtals, profit)
j
Property Owner Name
Address
City/State Zip Phone
5
Appikar* Name
Address
CRy/State Zip Phone
i
E t
3-3�+on
city/stste Zip Phone
i
Contractor
Address
Con&actDr City of Ft. Collins S
iles; Taos # ARM
Are
Paying taxes here or by report? JvHere ❑ Report
rer roprmadeyas
Are
paying Wth your trust acmunt? ❑ Yes )WNo
I
Is this a residential or com
I projed? 14 al 0
If residential, is it:G Single
amity Detached Condo
attached) ❑ tome (single hmPf attaDupkx
0 MUM
Iv (apartment) n Garage
If commerdal, Is It: O Bank
Bar 17 CMuch O Hoteymou
1 0 Medical office O Office [3 Retail
❑ Restau
nt O Other (explain)
Is this buikgng So years of all
If this Is fir a demolition
or more? a Yes KNo 1fyvu;ywmayjxWjDwnWhjftk
what year was the building
Descyiptkjn of ec
*If own spnkler/bacQw
Must et licensed pum.
first -VMS A/C, rust lirst ilk awWdeo
Subcontractors: am
mearCyofttCbwnS
Af
Plum
Medlanka
Rod {, — 6Q 0hW
I herebY aduvwledge that I have
oomph wb all nequ
this application and state that
ed herein and dty ordinances
the above inlbmation Is complete and ccorrect, I agree to
permit Is not valid until It has
and
paid and Issued.
stabs laws regulating building wnstructhn. I know that a .
L Print Name:
01 Date
P&MMaa.zsomr