HomeMy WebLinkAbout625 S WHITCOMB ST - APPLICATIONS - 2/24/2012FEB/24/2012/FP,I 07:25 AM Merit Electric, Inc. FAX No.9702661640
P. 002
City of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
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
Cl Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted,
Application # l) I a
For of a use only 5�G
Date 2/24/12
Job Site Address (required)
Value of Construction (labor, materials, profit)
625 Whitcomb Street
$1,700.00
Property Owner Name Address
City/State ZJp
Phone
Jeff Wolff 2009 Linden Lake Rd. Ft.Collins, CO 80524 970-481-4449
Applicant Name Address
City/State Zip
Phone
Dave Ruegsegger 2643 Midpoint Dr. Unit F
Ft.Collins, CO 80525
970-219-4012
Contractor Address
City/State Zip
Phone
Merit Electric Inc. 2643 Midpoint Dr. Unit F
Ft.Collins, CO 80525
970-266-8100
Contractor City of R. Collins Sales Tax # Are you paying taxes here or by report?
❑ Here 9 Report
s /� 9ta�numberisrequiredbyall conb-actom Are you paying with your trust account?
❑ Yes 9 No
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, Is 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 (explain)
Is this building 50 years of age or more? B Yes ❑ No Ifyes, you may need to contact HistoncPreservation
If this Is for a demolition permit, what year was the building constructed?
If pnor to 1975, you w/l/ need an asbestos assessment to submit with th/s application.
Description of work Replaw the existing electrical service with a new meter/main and new panel. Not upgrading the size, Just new equipment.
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-�Ume A/C, must list licensed electrician.
Subcontractors: Llst the company name or Qy of Ft Coll/ns l/cerue ,#
Elecbldan Plumber Mechanical Roofer
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 know that a
permit is not valid until it has been paid and issued.
Applicant: Print Name:Dave Ruegsegger
2/24/12