HomeMy WebLinkAbout2314 Bellwether Ln - Applications/Reroof - 10/10/2018To: City of FTC Permitting _ Page 3 of 4 2018-10-09 15:23:40 (GMT) 19705456005 From: Scott Daigle
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I � COUR.Community Development & Igeighborhood Services
—� 281 NoAh cauegeAvenue
• FoKCOTufs, CO 86524 ' r&Bx 9•r0A162740 Fax 97Q224.6134,
r 63cYER —THE—COUNTER II ER 4 lGhtituYB�e"7c �tbGti7� Y'
This application is to he used to apply for the fobtowingl permits only (chectr all that aPPSy)- � Air Conditioning
II Aemofition (interior non-structural) Cl Bectacal Alteration (not service change) II Gas Lighter II Gas Lag
13 Heating Un t II Lavin Sprinkler 0 Mobile Home replacement XRoofing ❑ Seerer line a Photo-vottaic
13 dent lation 13Water Heater l3Waterline i] Wood/Pellet St6ve (must be EPA certified. provide make, model and
manufacturer).
Compteteall.appl[cable irao matioonn on the application. Incomplete applieatbonstnill not be accepted.
Appticatio# C� C%O Date
lt
Rbrafficew-edify ,
Job=Ad
(rated) value of Conshur$on.(labor, materials, Profit) .
U3:tiR--,r L4..t T&A- eoW s eo' so s.' .:
Property Owner flame Address City/State: .Tip Phone
11 A"- a..v �\�..��.. a�lY ?xitw �4.k: �1 coi(I.�s moo.. sus a( �no)3c5-A55 .
App&ant Name. .,Address city/state, Tip' Phone
1)c �y
Contractor - Address ' .' City/State , Tip Phonne
Ceniractor City olfFt'Collins az Ik Are you.paying taxes here or by report 13 Here ❑ Report
sbatarrru resre mtr�avmnLaaas Rre.you paying with your trust acmunr E3 Yes E! No
1 Is this a rzsd, entiab orcmerdW projerO 14esidential ETCommereial
iresidenialisit Single Family Detached . M Codothome.(ngaarnmr' .
II Duplex
E! Multifamily (apartment) II Garage
If mmmerciaL bs it Q Bank Q Bar Q rhwch 13 Hole)/Mabel E3.6tediral office ❑ Office Q Retail
Q Restaurant Q Other (explain)
Is this building So years of age or more? ❑ Yes l3 No ffyes, you maynEed rncont 6aHlstarfCPreM-Mbbrr
Ir this is fir a demolieiori permit, what year uas the building constructed?
De alption of work n7:
*if churn sprimler/baddiow, ter, must lust ficensed plumber Yf first=SirrteA/C, mutts£ list li Subcono-trac orsB Plumber Medtardfm Ramer 'IherebyadmavledgethatIhayzmadthisapplicationandstatethattheaboieinfbn6tioiriscomplete'anPly with all requirements contained herein and city ord-mances and.state latirs regulating lnn'iding czmstpertnb2 is nn1 tralid urrM it has been Wd and issued.�irrite� T .1�1i 4t� 51gn.wre