HomeMy WebLinkAbout331 PARK ST - APPLICATIONS - 1/22/2014From Affordable Roofing Inc 1.970.207.0289 Wed ]an 14 08:58:18 2015 MST Page 2 of 2
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planning, Oaveiopmant & Transportation
281 N. College Ave P.O. BQx .58C1
Fort Coliln_, CO 80528
Phone- 9701-41.6-�2740 Fax'224-5i34
OYER"�HAELC; �V1 Ili`I�TER PERIII VNI.§
This application is to be used to apply for the following permits only (check all that apply). C ,'fir Conditioninct
U Demolition (interior non-siruccural) 3 Electrical Alteiaiion (not service change) ❑ Gas Lighler Gr Gas Log
D Puling Unit r Lawn Sprinkler ❑ lrlobile Horne replacement Q Roofing Q- Sewer Line O Photo -voltaic
0' V-3n1ll;3t1Ur ❑ Xi.VsatAi t•leaier '��. �J1)gLSrl.ln@ ✓� bVUQdi Pellet Stovs
(CUSi y" EP'"cerifed, provide make, modncj;nanufa:curer'
COrnpiefe all applicable information on th application, incOil)plete aPPlications will not be. accepted. 0)
.—�._.__ Date
Fbr ofr?c� use Only - - —
3c� site Address ii2qu/rau7) Vaiu of Construction labor, materials, troth)
IProper Ovvner Name Address C;_y./Star& Zip Phone
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00;1tractor Clio/ of `^t. Collins Sales Tax
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Are Vcu paying vkliLh
your trust account? Zll,es
140
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is this a re;iden:ial Qr i:Jmmc rdei project? }��rti_`y1r.Yli'ilal 0 Commercial
it resldei:;taE, is it: Single Family DeUxied 0 Condo/townhome (single family attached) C1 Duplex
u Aluliifamily (apartment) 0 Garage
i comm2rCi�i, -is it: ❑ !Sank 0 Bar 0 C Burch -3 Hotei/motel C1 mediral office Li Orlce G R82i1
0 P,-AauraiTt Q Other ;explain;
is :his airlr.'ing 50 years o; age or more? G Yes L No Fi ;•ci, yrw 1roy'rC-6d to contact Piston,;c P esenatiao
•.his is tr a demolition permit, whai year was the building constructer?
.i 17: rbr iv t 475.. you w!I! need an asot�Fros :o submit r7?h Chrs:�c�p/ic-auon:
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r'14 ianrn >prnklerlbacl4iow preventar, mt$i list licenS:Od plumber. f; first-time A/C, mutt lip licehscd electrician. � {
S,ibcontrac.in: e: tAt the cGmtl3nv rank: or 6V y Of F1 C PIIiry lice ' sd c
cs^.•i:r. F<tumi:er t•techariwf..— ..... ....--------- R^nfe:.~ i �7.-._ Otnar
ackrowtedue ,hats have read this application and sl that ;he above information, is complete and correct i agree In
^7mhiy crib all requirements contained herein and cky ordinances and state taws regulating building construction. _r know that a
!aermit is not valid until it has been paid and issued.
i 'Vint Name:._ _�r1.�1..-:.t�ci�h.Cv.......-signahrre�_---_