HomeMy WebLinkAbout926 RIDGE RUNNER DR - APPLICATIONS - 9/26/2018Planning,.Development &Transportation,
Cityof 281 N.-College Ave P.O. Box..580
r} pr Fort Collins, CO 80524
_C6 Jhs Phone 970416-2740 Fax.22+6134 ,
OVER-THE-COUNTER PERMITS ONLY
Thid-application Is. to be used to apply.for the following permits only.(check all that apply). ❑ Air Conditioning. , `a.
O Demolition ("In6nb.rnon-structural) ❑Electrical Alteration (nofservice change)❑Gas Lighter .0 Gas Log''
❑ Heating Unit ;❑ Lawn Sprinkler ❑ Mob
lie -Home replacement ❑ Roofing '❑ Sewer.Line O Photo -voltaic
i] Ventilation Water Heater, El Water. Line ❑ Wood/Pellet Stove (must be EPA certified, proyide.make, model and
;.manufacturer).
Complet$.all;applicable information°on the application. Incomplete applications will not be accepted:
55
Ap.pl(catiori Date. ` R5'' 1
For o(t/ce use only
701b.Slte.Address. (requ/red)
Value of Construction (lahor, materials, profit) .
Property.Owrier`Name..
Address
City/State Zip Phone. ".•
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Applican Name• :
Address
Coll
ity/State ZIP . Phone
:.:.
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Contractor ;•
Address.
City/State Z1p Phone
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Contractor.Gty of Ft. Collins'Sales Tax #:
Are.you. paying taxes here or by report? ❑•Here O.Report:
Are you paying with your trust account? es ❑.No...
Sales .tax .numberls required by all contractors.
Is this a residentiai.or co mercial project? Residential ❑ Commerdal
If residential; is`i4:., O S ngle. Family Detached p condo/towrihome (single family attached) ❑ Duplex
d Multifamily (apartment) - ❑ Garage
If.commeecial- Is:t ❑`,Bank`; ❑ Bar -❑ Church',❑Hotel/Motel ❑ Medical office, ❑ office ❑ Retail
EI Restaurant. ❑ other (explalp)
Is this building• 50 years of age or more? 13 Yes No If yes; you may need to cpntact-Historic PieservaGon ..., .
If this.is'for a.demolition permit,, what year -was the building constructed?
if prior to 1975, you lil need an asbestos aAFssnl to subm/t with this appl/cadon.
Description of work `oa4__
*If lawn: sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or City of Ft Collins license .#
Electrida� ,Plumber Mechanical Roofer Other
r�h
eby acknowledge that I have.read•this application and state that the above information, complete.and correct. I agree to' "•
ply.wiail requirements. contained herein and. city ordinances and,state laws regulating building construction, Iknowthat•amit is not valid until it has been paid.andissued.
llcant:• Date
Print Name: , Signature.