HomeMy WebLinkAbout3230 GUNNISON DR - APPLICATIONS - 4/26/2016Apr 2716 03:30p Severe Weather Roofing
9702233383 p.2
Flirt Collins
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 servic�hange) ❑ Gas Lighter ❑ Gas Log
❑ Pleating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement Roofing ❑ Sewer Line ❑ Photo -voltaic
EI Ventilation ❑ 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 twill not be accepted.
Application # >d�only
� �L 4 Date
For o!>ice use
Is this a residential or �cojma"e ial project? esidential ❑Commercial
If residential, is it: L tingle 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 141TO If yes, you mayneed to contact Historic Prwervadon
If this is for a demolition permit, what year was the building constructed?
- f prior to 1975r you will need a17 astrestos assessment to submit with this application.
Description of work
*If lawn sprinkler/bacKow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Fe Collins license #
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
permit is not valid until It has been paid and Issued.
Applicant:
Print Name:.1AW 44 t,94'0 Signature pie 1