HomeMy WebLinkAbout3266 Gunnison Dr - Applications/Reroof - 07/20/20188 Yransp
oP $aYe®n Services
rt) Planning, pevelop►n�n$, hborhood.Services
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�or� CO�i►115. Community Development & Neig
.28, North -College Avenue Main:?970.416:2740 Fax: �970.224.6'I3,4
Fort Collins• CO 80524... -
i
®l/E�t-Tt-IE-C®IDB�ITER PERMITS ONLY
ermit_s only {check all thatapply)-
used D Air Conditioning
1 for the. following p p Gas Lighter D Gas log ._
This application 14 to be to apply
Sprinkler ❑ Mobile Home replacement ¢Roofing `❑ Sewer. Line ❑ Photo -voltaic'
p Demolition (interiorinon-structural) 0 F-le�n�l Alteration (not service change) provide make, model and
❑ Heating Unit ❑ Lawn Sp
C1 Ventilation ❑ Water Heater D Water Line [7 Wood/peilet Stove (must be applications will not,be accepted:
•manufacturer) a o t a application. Incomplete 1.r
Complete all aPPli 1�
Date
Application
For ofliceuse onN labor,: materials, Profit)
Value of Construction
]ob Site Address (required) �(` 0
SO./t- Zip Phone
Address GUY/State ( `
_,...e.r„ nwner Name: _ �. T\ r _ #OI''t` t
r , _ Crty/State Zip
- Address
p pplicant Name
`• `Address �
�tY/S to Zip �i'o
r
Phone'
Phoji
ne
- �, �•
�c Are You paying. taxes here orbY �epoK? Kere' ❑Repo
Contractor City of Ft- Collins Sales Tax # - Are you paying with your'trust account? es n No'
Sales tax number is requbed by all cOr'"Crars-` -
esidential D. Commercial ❑Duplex
Is this a residential oe commercial Pro3e7 Condo/town
(single family attached)
If residential is it: ,rM Single'Family Detached Garage Multifamily (apartment) (apa�ent).'
If oommerciai, is It: D Bank D Bar, ❑ Chum -D Hotel/Motel .a Medical office 'D„Officer Remit'
Restaurant D Other (explain) u may need to contact HislonC preserva `
` - Is this building 50 years of age or more? ❑Yes ❑ No If yes, Yo - - _ = - ,
If this is for a demolition permitwhat year was the building constructed? .
2 e7t
Description of work
1� t S:-
NIJ
K Incensed electridari
• *If lawn �spnnkier)baddiow,preventer, must list licensed plumber If-first-t(me A/ C, mYst list
{
Subcontractors: LIs[. the tornpany name or City of Ft Collins license tg• ;. "j
• , Roarer
..: ' Other
'.Electridart Plumber Mechanical
that l have read this application and state that the above Information is complete and correct. I agree to
1-hereby acknowledge noes and, state laws regulatingbuildingconstruction. Z know that a;
comply with all requirements contained herein and city ordina
permit is not valid until it has been paid and.. issued.
" 9