HomeMy WebLinkAbout4130 SNOW RIDGE CIR - APPLICATIONS - 7/13/2015Fort Cottins
Planning, Development &Transportation
281 N. College Ave P.O. Box 580
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 M Roofing ❑ Sewer Line 0 Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodfPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 17150-'Tvz� Date 7 - / 3'/$
For oflfce use only
Job Site Address (required)
I .S 0 Q; C
Value of Construction (labor, materials, profit)
4 z.5G:
Property Owner Name Address
City/State Zip Phone
Applicant Name Address
City/State Zip Phone
John, r1c��fse ✓� S. ti
, p �2 Ste Z2ti' 1'cff (�ln5 L� pr''�.5 Z S �� - ZZ ,•-(fy5
Contractor Address
City/State Zip Phone
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Contractor City of Ft. Collin ales Tax #
Are you paying taxes here or by report? ❑ Here ❑ Report
sarestaxnumnerisrequimdbyall ewft ctors
Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? Iff Residential ❑ Commercial
If residential, is it: 19 Single Family Detached ❑ Condo/town home (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 If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifprlor to 1975, you will need an asbesins assessment to submit with this application.
Description of work gem r,,,z. Z-3 Csl2 -,i •}- cd uc, r •' �,. 8f i lC" OQA(I rep ie, t Yl i
23 d,.,
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time AIC, must list licensed electrician.
Su b contra cto rs: List the company name or City of Ft Collins license +
Electrician Plumber Medianical
RooferOther
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:
PrintName:J.sshnSignature,/ Date
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City of
Fort Collins
Community Development & Neighborhood Services
281 N. College Ave. • P.O. Box 580 • Fort Collins, CO 80524
Phone 970-416-2740 • Fax 970-224-6134 • Building Department Inspection Line 970-221-6769
aaweb.fcgov.com/CitizenAccess
ADDRESS
1 ISBF (Setback & Footing
2IFD
(Foundation
3IUGP
IUnderground Plumbing
4IUGE
IUnderground Electric
5IWTR
IWater Line
6ISWR
ISewer Line
7IGL
IGas Line Test
8IRP
IRough Plumbing/Topout
9IRE
IRough Electric
10IEG
IEnergize I
11 IRM
IRough Mechanical I
12IFR
IFrame/Roof
13IF'P
IFireplace/Woodstove
14IIN
Ilnsulation
15IFNB (Final Building
16IFNE IFinal Electric
171FNP JFinal Plumbing
181FNM IFinal Mechanical
19IHD
IHood & Duct I
20IHC
IHandicap I
21 GL
IGas Log
22 ISP1
I Special Inspection
23IMH1
241RF
25IISS
26ISW
27 IAW
(Mobile Home Inspection I
(Roofing/Re-Roof I
PERMIT #
Irrigation/Sprinkler IROOFING/RE RO I F NOT I A.C. ., L.O.C., or T C O must be
Fort Cairns is co s,dered y� ob ined from Budding Services
(Swimming Pool I Roofing WinryAlta. I prior to occupancy Call221-6760
insta,• 5 n'a `"'" silau be for more information.
e � Per ma;J,,Yacturers
(Awning I s ?c,fica, s.
ADDITIONAL COMMENTS & INFO ON OTHER DEPARTMENTS ON THE REVERSE SIDE OF THIS CARD.