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HomeMy WebLinkAbout6714 ANTIGUA DR - APPLICATIONS - 11/15/2016Planning, Development &-fransportzidoo 281 N. College Ave P.O. Sox 590 Fort Collins, CO 80524 Phone 970-1'16-2740 Fa:: 2 )?�k5 i 3 ' ! i.:S tipJI-Ca'" n is .o ba used to apply for the following p �-n?fs only {check all that aPPI'l) 0 /1:: r�n�liti,,::r:,.; _ ition (interior non-structural) ❑Electrical Alteration (not service change) ❑Gas Lighter I:.i CJas LUi:) A! ': I .:,tincl Unit l:a Lawn Sprinkler ❑ Mobile home replacement ❑ Roofng ©Bawer Line Cr 1'hot!-,-voltaic, i V i�lilatioti Waiar Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide , pialka. „-r-ld ! ,,c�,r.�Eate all aE�I:licaL'a in;or:i}ation_on the annlira iqn, incornpletr: applications willplot be accnpiccl ; DDliC iG011 r° s. � !�- --- Date r�r afro u54 only -�o;� a c13t y5s tr��r7riirad) valne,of Construction (labor, matwials, pn,ri:', ,01%Ipa slyOwnerName Address Gty/Slate Zip —� �c�r�-tee_ ).. 2 i 60 iNop icant Name_ Addt'�s � City/State Zip _l --:� A.jri:lr;• Address City/State Zip ,_.o{;ti-actor City of Ft. Collins Sales Tax fir` Are you paying taxes here or by report:? 0 liare risr�'c/uirtJGF•al/cvnbactors Are you paying with your trust account? i,Yes -I No l� ti!i; �; ,:sirieritial or commercial project? IN kesiden`` l ❑Commercial is it: ❑ Single Family Detached E Condo/townhome (single family attached) 0 Duplex ❑ Multifamily (apartment) ❑ Garage ii�comaiercial, !-sit; ❑ Bank ❑ Bar ❑ Church ❑ 1-lotel/Mot.el CI Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) 1+tiilc1i!,g a0 yeajs of age or rnore? ❑ Yes Cl No Ifyes, you mayneed to Conbd'PlistoriCPr<<?ser.-;rli1+r, A ; is for a-darno:ition perm t, what year was the building constructed? r i� rr t+j i P, 5, you r.vl// need an asbestos assessment to submit with this appOcadon. — l ram—+ �-/�(� [�' n��/f �f� f� %�/� f% /� +•? t tiorl Of work _ V _... a?-1 I �-1- !�.-_`��-`�� ---!.�_.W-� rC. •- -_' . _�! 1 I lavv!, si.+riiWer/buci flow preventer, must list• licensed plumber. If first-time A/C, must list licensed electrician. a::i : �: ctors: List the Company name or City of f-e Collins /ic:�n5 m Medianical_—.__ `— Roofer Oil+c; .--- ` :!CI<, wwlu,lge that I have read this application and slate that the above information is complete and correcc .Iv with all requirements contained herein and dly ordinances and stale laws regulating building conslxuclaraii..i icr,aw spa;: n i.- is :':ot valid until it has been paid and issued. P:•i!, • ManizaS Signa?ure __ _...--- ate