HomeMy WebLinkAbout328 E SWALLOW RD - APPLICATIONS - 8/14/2014Aug,15, 2014 7:22PM Bob Behrends Roofing
No.2117 P. 5/12
City of
Flirt Colts `' :.
Planning,, Development &TransportaiHon
281 N. College -Ave P,O, Box J 80
Fort Collins, CO 80524 • '
Phone 970-416-2740 FaX 224-6134
OVER-T EmCOU TER PERMITS ONLY
This application Is to be uaa+*ta apply for the following permits only (check all that apply). ❑ Air Conditioning'.
❑ Demolition (Interior non-simburao 0 Electrical Alteration (not service change) 0 Gas Lighter, ❑ Gas Log
❑ Heating Unit ❑ Lawn Spri tier ❑ Mobile Home replacement Roofing 17 Sewer Line. ❑ Photo -voltaic
0 Ventilation ❑ Water Heater UWater Llne 17 Wootf/Pellet Stove (must be EPA. certified, provide rpake, model and
.•manyfagturer). • . • '
•'Comptete all appifoablojna matlon on the applicatlon• -Incomplete applications will not be accepted.
L �) • -bate 1--
APPlicatio'" . ; , U L U � • � 1 1 9' . .
for office UWW4,
Sob $ite Address (Mquired) Value of C nstruction (labor, materials, profit)
g.w.
.Property Owner Name Address
City/State
-Zip
Phone
3
Aso �a, 33 T9 �L
Applicant N1nQ Address
CdY/State
Zip
-Phone
Contractor # Address
Clty/S ate
Zip
Phone
` 1�Lic
(oC C_t
0v
3 1 sr 04 '
Contractor City of, Ft. Collinp ` Tax #
Are you paying taxes here or by report?
Here 13 Report
sa�&stax umberisrequiredbyesivraecma�
Are you paying with your trust account?
Yes Q No
Is this a residential or commei projeet4 - ZIResidentlal M Commercial
•'If residentlali Is it; ,h5ingle8bmily,Detached ❑ Cando/townhome (single family attached) U Duplex
❑ MuMaatk(opartment) 0 Garage
If commercial, Is it; 'CI Bank 0 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑.Office LJ Retall
❑ Restaumat. ' ❑ other (ekplaln)
Is this building 80 years of ogeor moia? i ] Yes,. o Ifyes, you may need to rontactl•/&adc-P.reservatA?n
if this'is.for a demolition pandit,,what .year.wasthe -building constructed? • ,.. 1 .
If prior to 3975, you will neesdwasbestos• assessment to submlt wltlJ th/s appllcat/on,
of work
If lawn'sprinkler/bacldlow-prevear, mulst•list licensed plumber. If firsk-time A/C, must list licensed electriylon,
Subcontractors: Llst the caolmWA74mig or City of Colllns.h& Asa
IlecMden,_; PJut r•• Mechanical, Roffer
I hereby acknowledge that I tzaveeeed thls application and state that the above Information Is complete and correct. I Ogres to
comply with all requirements congaed' hereln and city. ordinances acid state laws regulating building construction. J[ know that a
permit Is not valid ntil it husiteen paid gird Issued„