HomeMy WebLinkAbout1431 Tarryton Dr - Applications/Water Heater - 02/05/2020City of Planning, Devetopmen4 & Transportation Services
Flirt Collins Community Development & Neighborhood Services
`�-- 281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 Fax 970224.6134
OVER-THE-COUNTER 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) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sevier Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stave (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #,
For offlwzise only
Date February 5, 2020
Job Site Address (requhad) Value of Construction (tabor, materials, profit)
1431 Tarryton Drive, Ft Collins, Colorado 80524 $2029.00
Property Owner Name Address City/State ZIP Phone
Taylor, Kelly 1431 Tarryton Or Fort Collins, CO 80524 970-494-3911
Applicant Name Address CiLy/Star Tipp Phone
Christina Evans 1015 Link Lone Ft Co, CO 80524 494-7632
ContrdChor Address City/State 7rpp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of FL Collins Sales Tax # Are you paying taxes here or by report? ❑Pere ❑ Report
-Wwtmrnwrzcr&ieq edbyaffc nbacftm Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or gimmendal project? N6 Residential ❑ Commend
If residential, is it ` 1 single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is fi ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant O Other (explain)
Is this building 5o years of age or more? ❑ Yes ❑ No If^ yvu mayneed to conta&hFs tic Pmservafion
If this is for a demolition pernuk what year was the building constructed?
Description of work QOJ"0" edsfirg wA ud reo=%iA like t wA
*If lawn sprinlderibaddiow preventer, must list licensed plumber. If fist -time A/C, must fist licensed elecbidan.
Subrnnb-actors:ListbhemmpWnameerGlyofftCvl6iis%#
Eteci idan Plumber Med ankat Roofer Other
I hereby acknowledge that I have read this application and state that the above information is complete and coned: 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.
APPtca ChrG3iu ta.Evan4 I Y I h� U I la/ tM W Date�`' UJ Print Name: Signature �f I
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