HomeMy WebLinkAbout807 BONITA AVE - APPLICATIONS - 6/30/2014City of Planning, Development & Transportation
281 Ni 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
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement III Roofing ❑ Sewer Line ❑ Photo -voltaic.
❑ Ventilation ❑ Water Heater Cl 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 # 2�l`AO�� 1. Date _ 6/3w014
For oBlce use only
Job Site Address (required) Value of Construction (labor, materials, profit)
807 bonito ave - 13295.55
Property Owner Name Address n�(t/State Zip Phone
Chris Bergmann 807 bonita ave 80526 970-218-9686
Applicant Name Address City/State Zip Phone
Contractor Address City/State Zip Phone
Contractor City of Ft. Collins Sales Tax 4 Are you paying taxes here or by report? ❑ Here ❑ Report
siestaxnwnt&risrequiredbyaiica,ttactors. Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? Residential ❑ Commercial
If residential, is it: IM Single Family Detached ❑ Cando/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 IANo "lf yes, you may need to contact Historic Preservatlon
If this is for a demolition permit, what year was the building constructed?
Yprfor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Tearoff re roof to local wtle end IRC. 2 story4/12 27.19 sq.
*If lawn sprinkler/back1low preventer, must list licensed plumber, if first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins 1/tense rf
Electrician Plumber Mechanical Roofer R-2914 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: swnMorman Signature Scot HgffL4� Date
11
7130/14