HomeMy WebLinkAbout425 IDALIA DR - APPLICATIONS - 2/8/2019City of Planning, Development, & Transportation Services
Flirt Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 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 El -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 information on the application. Incomplete applications will not be accepted.
Application # �AQ (Do 5s )
For office use only
Date a I qD I 19
lnh gitQ AddrPes /rannirad) l/aluP of Construction (lahnr matariala nrnfit)
425 Idalia Dr. Fort Collins CO $3500.00
Property Owner Name Address City/State Zip Phone
Nick Lucchino 425 Idalia Fort Collins CO 80525 970-691-2741
Applicant Name Address City/State Zip Phone
Dominick Campana 5100 Abbey Rd Fort Collins CO 80526 970-402-0050
Contractor Address City/State Zip Phone
Aliversa investments 3702 Manhattan Fort Collins CO 80525 970-402-0919
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ® Here ® Report
Sales tax number is required by all contractors. Are you paying with your trust account? ❑ Yes 3 No
C1-271
Is this a residential or commercial project? 10 Residential ❑ Commercial
If residential, is it: ❑ Single 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 El No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Adding a total of 16 can lights in kitchen/ Dinning area. Cutting down a non
structual wall in kitchen to bar height moving any electrical wiring in wall. Adding gas line for range.
Installing new hood for gas range, and adding a make up air in kitchen.
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license#
ElectricianWyatt Electric PlumberBecks Plumbing Mechanical A Team Roofer Other
Heatina/ Air
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 a
permit is not valid until it has been paid and issued.
Applicant:
Print Name: Dominick Campana signature Date 2/8/2019
Revision date 216/2017