HomeMy WebLinkAbout625 CASTLE RIDGE CT - APPLICATIONS - 12/15/2014City of Planning, Development & Transportation
FY} 281 N. College Ave P.O. Box 580
ort CollinsIFort Collins, CO80524
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 (rot service change) ❑ Gas Lighter ❑ Gas Log
❑ Healing 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 applicationswillnot be accepted
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Application # ���I��_� Date �+I > 10� 1�
For office use only
Job Site Address (required) Value of Construction (I b iaterials, profit)
Property Owner NaI
Address City/State Zip Phone
Caren r� S us4t N c ( 6- 13t
Applicant Name Address City/State Zip Phone
Contractor Address City/State Zip Phone
CAPITOL ROOFING INC. 6540 S. COLLEGE FORT COLLINS 80526 970-227-5600
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? �fd Here ❑ Report
saiestax nufnberisrequiredbyaucontracrorx Are you paying with your trust account? ❑ Yes 53Y 0
C��'Y.�51�C1 to
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i is this a residential or commercial project? Lf-Residential ❑ commercial
if residential, is it: [.Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
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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 to/No if yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Desciptionof orkV\CX^ wa Xts��r "�Ivo1PS '�r�c) 5-R��aC_e_ In\alp
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`If lawn sprinkler/backnow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license
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Mechanical Roofer Other
Electrician Plumber I
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I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
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comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a i
permit is not valid until It has been paid and issued.
Applicant: Date
Print Name: CAPITOL ROOFING INC Signature _ -- j