HomeMy WebLinkAbout6107 PHEASANT CT - APPLICATIONS - 8/14/2019city of Planning, Detvelopmen4 & Transportation Services
Fort Collins Community Development & Neighborhood Services
281 North College Avenue
FodConins, CO80524 Main: 970.41U740 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 int'grm %on Sppllcation. Incomplete applications will not be accepted.
Application # (/�I Date August 14, 2019
SForofiice the a*
Job SiiP Address (required) Value of Construction (labor, materials, profit)
6107 Pheasant Ct, Fort Collins, Colorado 80525 $3293.00
Property Owner Name Address City/State Zip Phone
Marco Madrid 6107 Pheasant Ct Fort Collins, CO 80525 970-980-9924
Applicant Name Address City/State Zipp Phone
Christina Evans 101 S Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State Zpp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contradnr City of FL Collins Sales Tax # Are you paying taxes here or by report? ❑Mere ❑ Report
Sees twnwnber1graA&&byaf1anrrbacmrs Are you paying with your Host account? Yes ❑ No
10010
Is this a residential or girnmerciall project? 1 Re dential ❑ Commercial
If residential, is it: V Single Family Detached ❑ Condo/Gownhome (single family attached) ❑ Duplex
❑ Multifamtly (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Chum ❑ Hotel/Mobel ❑ Medical office CI Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If^ you may need to crnrtrctlfistudcPresenalion
If this is for a demolition penrrit, what year was the building constructed?
DeSZription of work "OfOe°° 0°s"flq w/H era replace 'Mh n like w/H
*If lawn sprinkler/tiaddlow preventer, must list Ikaerised plumber. If first-time A/C, must fist licensed electrician.
subcontractors•. W ffie cvmpianyname oratyoff tCofBasrmmw #
Sewidari Plumber Med>antoi Roofer Other
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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
comply with all requirements contained herein and city ordinances and state laws regulating building conshuction, I know that a
permit is not valid until it has been paid and issued.Appli
PrirrtName: Chri�twia l vavrs SSgnaturel
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