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HomeMy WebLinkAbout4142 SNOW RIDGE CIR - APPLICATIONS - 7/9/2014of Fort Collins Planning, Development & Transportation 281 N. College Ave P.O. Box 580 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 ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 2Roofing ❑ 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. Application # P 140 3 -7`4 For office use only Incomplete application will not be accepted. Date ►In Job Site Address (required) Value of Construction (labor, materials, profit) © Z Property Owner Name Address City/State Zip Phone -\o03L_e2%- 4T F -pc da3 0411 Applicant Name Address City/State Zip Phone Contractor Address City/State Zip Phone 1 t -CUR=L G-10. 7? 6' Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report sales tax number isrequlredbyall Contractors. Are you paying with your trust account? ❑ Yes MNo Is this a residential or commercial project? CZ Residential ❑ Commercial If residential, is it: K-Single Family Detached ❑ Corido/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? ❑ Yes ❑ No Ifyes, you mayneed to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? If prior to 1975, you will need an asbestos assessment to submit with this application. Description of *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or city of Ft collies license # Electrician 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: el Print Name: �C]"M Signature Date