HomeMy WebLinkAbout1439 CATALPA CT - APPLICATIONS - 12/18/2017Planning, i3evelo
281 N. College Ave
Fort Collins, CO 80!
_ .. Phone 970-416-27-'
O
�,�E;r'alm THE-COONTE P ERMITS
i •.:s application is to be used Ito apply for the following permits only (check all tl
Doll'olition (interior non-structural) ❑ Electrical Alteration (not service change) El
atng Unit ❑Lawn Spnnk{er ❑ Mobile Home replacement ❑ Roofing ❑ Sew
Ventilation�aler Heater Q Water Line ❑ Wood/Pellet Stove (must be EPA ce
,;1,uiuFacturer)
(,on,.pjete all applicable infonlation on the application. Incomplete applications
�,\aphcation 9-__— �,� '" Ojq Date
ror office use O,
I •
Jz)u l 4� 4 —
r.ddress (r�jurrad)
1) pe; ty Owner Name
Aoolicant all.1 s
r (;lulraclor�
Address
j Collu actor City of Ft. Collins Sams Tax #
1 �•;z�ui,iumberrsrrqulrL�76ya1/mn6�dors•
s rJus a isidenual of 96Mnieraal
,I ie-0enlial, is It le Fa
❑ Multifami
i; commercial, is it ❑ Bank ❑
❑ Restaurar
III dding 50 years of age
i L, lli ii for a derlic!"don perilli
,if to 1975, you will need an
n,2;cnpnoil of work
Address
Value of Construc
S L.�
City/State
City/State
City/State
I=. p --
Are you paying taxes hen
Are you paying with your
vent &Tia,isportatioi;
P.O.,Box 540
Fax 221 n 134
ONU`V
it apply). ❑ Air Condition;ni-,
as Lighter 1.3
Gas Log
r Line ❑ Photo -voltaic ti•
ified, provide make ovidal
not be accepted
'A1 /—_- -
(labor, maLenals, proiit)
3 737.
Zip Phone
Zip Phone
.5g Y. �d ` 'ye 1-1
Zip Phone
or y report? ❑ Here
ru account? "A Yes
njece? dental ❑ Commercial
ily Detach d ❑ Condo/townhome (single family attal
(apaitrlent) ❑ Garage
ar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ C
❑ Other (explain)
more? ❑ Yes ❑ No Ify4 you mayneed to coma
what year was the building consbvcted?
rbestos assessment to submit with fins appllcabon.
it Inwn sprinkler/badcflow preventai, must list hcehsed plumber. If first-time NC, must list
5 .; con es-r, ctoi s: List 1170rompan/name or (9ty of R colons license m
•.Irr.�n_, i'-- —. -- Plumber---- — Mechanical_---- Roofer
by ,lcl nowtedye uiol I have read Lhis applicaton and stale that the above information is c
„ 1piy with all i equiremenLs mntauled herein and city ordinances and state laws regulating bud
:i'_ is :lot v did unil it has been paid end issued.
❑ Duplex
i
Report
0 No
,
ce ❑ Recall
Histonc Preservation
electrician
Ousel
=_te and conect. I agree r,)
constructioli I know that _
vate
, I