HomeMy WebLinkAbout2600 Avocet Rd - Applications/Reroof - 06/06/2019Fort Collins
This application is to he used to apply for the following perm
❑ Demolition (Interior non-structural) ❑ Electrical Alteration (not
❑ Fleeting Unit 0 Lavin Sprinkler ❑ Mobile Home replacement
❑ Ventilation ❑ Water. Heater ❑ Water Line n Wood/Pellet Sti
manufacturer).
Complete all applicable informationonthe application. Incol
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Forofflce use only
ming, Development & Transportation
N. Coliege Ave P.O. Box 580
Collins, CO 80524
ie 970-416-2740 Fax 224-6134
ONLY
only (check all that apply). 13 Air Conditioning
Vice, change) ❑ Gas Lighter 0 Gas Log
I Roofing ❑ Sewer Line ❑ Photo -voltaic
(must be EPA certified, provide make, model and
applications will not be accepted.
Sob Site Address (required) n
i(alue
of Construction (labor, materials,� rant) a
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Property Owner Name
AddressCity/State
Zip
Phone
Appl n Name
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Address
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city/S
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Zip Phone
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Contractor
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Address
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ity/State
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Zip
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Phone
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Contractor City of Ft. Collins Sales Tax # Are you
Sale; nix number Isrequlred by all contractors Are you
taxes here or 15y report? ,R'Here ❑ R port
with your trust account? 0 Yes ,� u
Is this a residential orcom ercial project? Pkkesidential ❑ Co mercial
If residential, is It: g"Single Fancily Detached . ❑ Condo/townho a (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? 13Yes "o If yes, you may need to contact Histotic Preservation
If this is for a demolition permit, what year was the building constr cted?
If prior to 1975, you ivl/l need an asbestos assessment to submit with this appllcadon.
Description o wok �-ez_% v
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pr(nkler/backilow pravente�, must List licensed plumber. If first
time A/C, must list licPselecu9cian.
Subcontractors, List the company name or City of Ft Collins license #
Electrician Plumber Mechanical
nn
Roofer/' cae-s-.- other
I hereby acknowledge that I have read this application and state that the 'above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I imow that a
permit is not valid until it gas been paid and issued.
Applicant:
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