HomeMy WebLinkAbout331 SPINNAKER LN - APPLICATIONS - 9/11/2015Sep. 11. 2015 1:49PM Bob Behrends Roohng
No. 7210 P. 2
Planning, Development Fe Transportation
±� 281 N. College Ave P.o. Sox 580
�� Fart Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE4:0UNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check ail that apply).13 Air Conditioning
Li Demolition (interior non-structural) d Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
E7 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement Li Roofing ❑ Sewer Line U Photo -voltaic
❑ Ventilation Q 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 # Q 15OG 72-V Date
Pot office use only
Is this a residential or mercial project? Residential ❑ Commercial
If residential, Is it: Ingle Family Detach d ❑ Condo/townhome (single family attached) ❑ DupI
Multifamlly (apartment) ❑ Garage
If commercial, is It: ❑ Bank n Bar ❑ Church ❑ Hotel/Motel ❑ Medical office Q office ❑, Retail
❑ Restaurant ❑ Other (ex lai )
Is this building 50 years of age or more? LI Yes , 9�iVo If you may need to contact Historic Preseruatlon
If this is for a demolition permit, what year was t building constructed?
If pNor to 1975, you will need an asbestos assazment to submit with this application.
of
*If lawn sprinkler/backflow prevenier, must list licensed plumber,
first-time A/C, must list licensed electriclan.
Subcontractors: Us! the company name or City of FtColllns license 0
Electrician 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 lays regulating building construction. x know that a
permit is not valid until It has been paid and issued.
Applicant- �(� ,(
Print Name: i `\U. C C�it� S signature Date V�