Loading...
HomeMy WebLinkAbout6315 TREESTEAD RD - APPLICATIONS - 11/4/2014Planning, Development &Transportation City o$ i F! NOY L It 20N 281 N. College Ave P.O. Box 580 ®n s u- lJf �P o eollins1 970- 6-277404 �� � Fax 22+6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). NI Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log 0 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ 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. Incomplete applications will not be accepted. Application # e)114122E Z Date For office use only 11/-4I i4 3ols Site Address (required) L 3 I 5 54"'� k2 J'-. Value of Construction (labor, materials, profit) C,&-w,kv co 8b5)-b S-Uc 4' q Property Owner Name Address City/State Zip Phone 9-1 ° 1 or (, �Ilrj �1eer L- i�^ram ill, Z$5( Applicant Name Address City/State Zip Phone 1 Cl ncb.A Iry n c16Lr ,a-°) 'bRnl: Lv /kL (, I t (a;ul J Q>oC731 coo 1 ! uv J Contractor J Address City/State Zip ?jUS 3� Phone �i'1'� I,, Yt $--H''�Cin�. IY I ek %�i70 -iI UV Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? O Here ❑ Report sales tax number by all contradom Are you paying with your trust account? 0 Yes ❑ No �isrequired J 7 lr•J Is this a residential or commercial project? 12 Residential ❑ Commercial If residential, is it: it Single Family Detached ❑ Condo/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 may need to contactH/storic Preservation If this is for a demolition permit, what year was the building constructed? Ypnor to 1975, you will need an asbestos assessment to submit with this application. Description of work s i-u-V_ x TIf lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or Gty of Ft Collins license # FJectriUan 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. II know that a permit is not valid until it has been paid and issued. — Applicant: C I N D�J m2! G Wr Print Name: Date t 11'4 / t 4