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HomeMy WebLinkAbout2932 Comet St - Applications/Sprinkler - 08/29/2018Citylege Ave , of planning, DweGopment & Transportation 281 N. t Colons Fort Collions, CO 80524 O l3ox 580 Phone 970-416-2740 Fax 224-6134 ®VEWTHE OUNTER PERMITS ONLY 7b1s; application Is to be used to apply for the 10110wing permhs only (check all that app)y). O Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ,Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic 0 Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, rrlodel and manufacturer). Complete all applicable lInffoorjmmation on the application. Incomplete applications will not be accepted. Application # � ` W-14 I;u Date ��� q ( � for office use only Job Site pddrAW (requlmd) Property Owner Name Applicant Name Address Ileo/ 6 OOO( ev le( Address -5'4 if' .413.V Contractor Address L aS /6,11 L, ;tea iv Contractor City of Ft. Collins Sales Tax # sales tart number!; required by all con&wk-as. ®of Const riliction (labor, materials, profit)30 " /state Zip Phone City/State Zip Phone !o, X05-�2/ 9Tv- 227- 9a3a City/State ZiP Phone p Are you paying taxes here or by report? i7 Here ❑ Report Are you paying with your trust account? ❑ Yes )$-No Is this a residential or commercial project? ,a Residential ❑ Commercial If residential, is it: PTSingle Family Detached © Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank © Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant 12 Other (explain) Is this building 50 years of age or more? ❑ Yes ,i"o 1f yes, you may need to contact Hisjo#C preservation If this is fnr a demolition permit, what year was the building constructed? If pflor to 1975, you w11/ need an asbestos assessment to submit with this appllcatlon. Description of work cf -�/cv --frr� ne-- *If lawn sprinlder/back iow preventer, must fist licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: Ust the company name or City of Ft Collr. s 1/tense # Electrician Plumber _Rop" 040 Mechanical Roofer Other I hereby acknowledge that I have read this application and state that the above information Is Complete and correct. I agree tD 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. Applicant: Signatu3l � 9, P,rtnt iVa i}� A a Vl V1 l i �(d re. J4 4 Date IrCt vtr;lC rind/7�., .... �• c H i „