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HomeMy WebLinkAbout920 S COLLEGE AVE - APPLICATIONS - 8/23/2018FCity of Planning, Development, & Transportation Services art 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 replacementRoofing ❑Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all appli ble in ormation on theme aapJication Application # For office use only Incomplete applications will not beacceptd. Date 1901 Job Site Address (required) Value of Construction labor, materials, prnflt) Property Owner Name �" � City/State Zip Phone Applicant p e A r ss City/State Zip Phone Co tractor`i(l� R I -� � Oli) Ad ess City/State Zip Phone cn�t t co %))_)- �A) � yyr ontractor City of Ft. ollins Sales Tax # Are you paying taxes here or by report? `1SHere ❑ Report Sales tax num F equir yall contractors Are you paying with your trust account? ❑ Yes---B-No A Is this a residential or commercial project? ❑ Residential Xcommercial 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 VI -Retail ❑ Restaurant ❑ Other (e lain) Is this building 50 years of age or more? ❑ Yes 9No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? ij� Q,ewiotion,Qf.wgrk _ —Y�,� T �J 'S /l�(A �� S C �V`- G 5C . i�� �S G5�7hv1.�+ Sty rF�l s C!_ *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/ must list licensed elec c, n. Subcontractors: List the company name or City of Ft Collins license # N11 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 laws regulating building construction. I know that a permit is not valid until it has gbee'n paiiid and issued. } Applicant: Vf U �( 1' ` 1 h Print Nam Si g natur � 11 A 1YiV ° 1 & Date cJ�1 J/ J � 4� Revision date 2/6/2017 Min f mtLA/A � 1-3® c�-v��i ►1uo u� � n su� � (egcu red abc- e 4k(--Qa- - n§dec k -72;� 1. What is the slope of the roof? 2. Are you going to be tearing off or keeping existing layers? -if keeping existing layers how many layers are there? -what kind of material are they? 3. What new roofing materials are you using? -?VL 4. Is there existing insulation? V-P S -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. 1