Loading...
HomeMy WebLinkAbout2931 Garrett Dr - Applications/Reroof - 05/23/2019Gty, of Planning, Development, & Transportation Services �^Fot't Collins Community Development & Neighborhood Services - 281 North College Avenue Fort Collins, CO 80524 Main: 970.416.2740 Fax 970.224.6134 OVER-THE-COLINTER 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 VRoofrng ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Sto a (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will, not be accepted. Application # UDate 5-IP6/Ell ©C)FCR For offfm use only lob Site Address (requ/red) Value of Construction (labor, materials, profit) Q9b1 C'tuX Drl(ti F • colli Property Owner Name Address Gty/State p Phone Applicant ldmAddress City/State Zip Phone Contractor Address City/StateZip Phone (� G i K I :Y4!irA t(E Contractor City of Ft. Collins Sales T # Are you paying taxes here or by report? Erfiere 9*port Safes texnumberisrequ/rodbyall mnaacbm Are you paying with your trust account? ❑ Yes El -No 0013��Fo�L Is this a residential or commercial project? KResldential ❑ Commercial If residential, is it: JAingle Family Detached ❑ Cando/tnwnhome (single family attached) ❑ Duplex 13 Multifamily (apartment) O Garage If commercial, Is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other ( lain) Is this building 50 years of age or more? O Ye Non o Ifyes, you may need to can&xtHaftwcPresen2tlon If this is for a demolition permit, what year was the building constructed? Description of work - Grn airC 0 nFkb *If lawn sprinider/baddlow preventer, must list licehsed plumber. If first-time A/C, must list licensed electrician. Suboo ntractors: List ffie campamyname or Gty of Ft Collins license .f Sectridan Plumber — Mechanical. ROOW Other I hereby admowledge that I have read this application and state that the above infonnation.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. APplicarrt; Print Name: i h Signature Date cJ'�3 l i Revision dale 2MM17 :3te57