HomeMy WebLinkAbout1320 ALFORD ST - APPLICATIONS - 2/14/2014Feb .141412:08p
Rues,LLC
970-619-8074
PA
Fort Collins
Planning, Development &Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
1:'..e
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 ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation % Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA celled, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 1 tA00 2mo Hate
rarofte my only
Sob Site Address (req&reiq
Value of Construction (labor, materials, profit)
20
- 00
Property Owner Name Address
Gty/State Zip Phone
i
-st 9-7o- -9/
mid-1
Applicant Name Address
Gty/Stabe Zip Phone q10-
e.avt pa.Lrne_;- 4.0r5 _l en+'�eV
A-e- Love(" Co 80531, US5-451t
Contractor Address
City/State Zip Phone (o%'
w'krnJn PX.Ic:.Q:IA— UAVAbi n. 465 l�. �'lW Attt Lo
Contractor City of Ft. Collins Sates Tax #
Are you paying taxes here or by report? Q Here V Report
"Ps r wwn ter&requ edbyaff cm&acft,.%
:4z'1 7n
Are you paying with your trust account? p Yes ❑ No
Is this a residential or commercial project? AResidential ❑ Commercial
If residential, Ls it~ (Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it:. ❑ Bank ❑ Bar ❑ church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (expWm)
Is this building 50 yearsof age or more? 0 Yes O No If yes, you mayneed to contact Historic Phesisrw. Von
If this Is for a demolition permit,what year was the building constructed?
Ifpr/or to 1975,, you W11 need an asbestos assessment to subint with this appheabon.
Description of work
*If lawn sprinkler/baddiow preventer, must list licensed plumber. If first-time A/C, must Itst licensed electriaam
Subeonbractors: List bye company name orOtyofFt Colllrzs[hYue #
Elecbidan Plumber Mechaniiml Roofer
olher
I hereby admowledge 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 wristrucWn. I know that a
permit is not valid until it has been paid and Issued.
Prrt IQarne. LL. Y t- Pa. u "-,- Signature
Date afLi
.11