HomeMy WebLinkAbout920 S COLLEGE AVE - APPLICATIONS - 8/22/2018City of Planning, Development, & Transportation Services
/Fort Collins Community Development & Neighborhood Services
`�- 281 North College Avenue
Fort Collins, CO 80524 Main: 970.416,2740 Fax: 970.224.6134
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 ❑ 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 'nfor tion on t application. Incomplete applications will not be accepted.
Application #K)-T5 Date
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
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Property Owner Name Address City/State Zip Phone
Appli nt Name Address City/State Zip Phone
Co tractor nn Address City/State Zip Phone
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Contractor City of Ft. Collin Sale Tax # Are you paying taxes here or by report? J Here ❑ Report
Sales tax number isrequiredbyall contractors. Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential -0 Commercial
If residential, is 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 If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
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*If lawn sprinkler/backflow preventer, must list licens d plumber. if first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license # V
Electrician Plumber Mechanical Roofer /I 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. I know that a
permit is not valid until it has been paid and issued.
Applicant: v
Print Name: Signature Date — Fel;z"P' Aff
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Revision date 2512017
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Z. What is the slope of the roof?
2. Are you going to be tearing off or keeping existing layers?
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-iff keeping existing layers how many layers are there?
-what kind of material are they?
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3. What new roofing materials are you using?
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4. Is there existing insulation?
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-if there is existing insulation is it staying or will it be removed?
5. Once these questions have been ask and answered then pass it along to Russ.
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