HomeMy WebLinkAbout613 SKYSAIL LN - APPLICATIONS - 9/6/2014To: Page 4 of 5 2014-09-08 22:37:44 (GMT) 18886372137 From: Steve Arencis
City of
.F6ft Collins
Planning, Development & Transportation
281 N. College Ave* P.O.. 5ox,580
,Fbr.t,Co1ljn$,.CO 80524
Plione1070-416-2740 FaN 22.+6154
OVER-THE-COUNTER PERMITS ONLY
This application Isic, be used to apply for the -following Permits. only (cheek.all that apply). 0 Air Condificining
ElPernolition (interior non-structural) Alteration (not service -change) 13 Gas Lighter 0 Gas, , Log
tl M PcftMm U^!# T-1 L.,-,; � 91� IA- " kA 1.:VI A—— '-,.1 1.4 ---------
I '- L-,�l We1-1 Lino a WvuHlryllgt QWX� (931Uot.Pr.A=r-^ 6=1 L1f1VU,,.lJ.VV1Ut! 113d.KC, moctei ana
manufap.turar).
ComDfete.all app
licable information on the application. Incomplete applications will hot be accepted. ocepte .
Application Date
For office use only
-lob Site Address (required)
Vau,eof Construction (labor, materials, profit)
W3
-OD
.Property Owner Name
Address City/State Zip'
Phone
te4s'k It
ApOlicant �N
. I
Address city/State Zip
Phone
Contcpctor
Address City/state zip
.
:Phone
Contractor City of Ft. Collinsiales.TaX
# Are you paying.taxes here'or by report?.
Here. OReport
Are you paying with your trust account?
Yes El No
Is this a residential or-cornmercial.lproject?' Reslclentlal D Commercial
If residential,. is it. Single Family Detached 13 Condo/townhome.(s.i.ng(q.tamily:at,t,pched) [].Duplex
Mqltifamily (apartment) 0 Garage
If. commercial, is it: .13 Bank 0.8ar. O. Church 13 Hotell.Motel 0 Medical office O:Office 0"Retail
0. Restaurant 0 Other (ex Zlqin)
Is this building 50,.VAars of age ormore? 13yes No If-yes,.you:may)7eedtocont,?aH *tcric Presef Yation
If thisjs fora demolltion.permit, What yearviks the building constructed?.If prior to 1975, you will need an asbestos assessment to submit- with this -application.
•
Description of jyork�"Y_ 6DW
J_
*If lziyvp sprinkle /back -iist.ticens �ctdciah.
flow preventer, mustlist licensed plumber. If first 6ine A�C, must d ele e
Sub;optractbrs, List the compal7rname or oty of Ft Collins licen-c--
Electrician Plumber Mechanical RooferQ- D11 Other_
10y1CCW
comply requirements ire erts contained herein and city ordinances and statc laws regulating building construction.. I know that -a
.P
Permit is.n6t valid.until ft.-has'been paid and issued..
Applicant;
Print
Name Sig.natur Date. Rou