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HomeMy WebLinkAbout4130 SUNCREST DR - APPLICATIONS - 12/16/2019city of Planning, Development, 1& Transportation Services Fort COUInS Community Development & Neighborhood Services 281 North College Avenue Fort Colin. CO 80524 Main: 970.4162740 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 nonstructural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application # Foroflix ine arty Dat�a December 13, 2019 Sob Site Address (reWki4 Value of Construction (labor, materials, profit) 4130 Suncrest Drive, Ft Collins, Colorado 80525 $2142.00 Property Owner Name Address City/State Zip Phone Aaron Gaston 4130 Suncrest Drive Fort Collins, CO 80525 541-870-0501 Applicant Name Address OW/State Zip Phone Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632 Contractor Address City/Stage zipp Phone ne Allen Service 1015 Link LaFt Co, CO 80524 484-4841 Contractor Oty of FL Collins Sales Tax # Are you paying taxes here or by report? ❑ Iem ❑ Report Sdes krmaraberlsw byaYmrrhadm& Are you paying with your trust account? w'es ❑ No 10010 Is this a residential or gornmercial project? Resldential ❑ commercial If residential, is it: V Single Family Detached ❑ Clando/bawnhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotd/Mobel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or mare? ❑ Yes ❑ No If yes, yrw nraymead to cantacthb iicPreser vabho If ttus is for a demolition permit, what year was the building constructed? Description of Work R n COSY"wM and replan wit Gke new w/H *If lawn sprinkler/baddbw prerenter, must list licensed plumber. If first-time A/C, must Gst licensed electrician. subcontractors:List ttreco»rpanynameorWofttCa9ins6mrse0 FlecUia^dn PlumberMledianicar Room Other I hereby acknowledge that I have read this application and stabs that the above information is complete and correct. I agree to comply with all requirements contained hereln and city ordinances and state laws regulating building Cormlrudaon. I know that a pence is not valid until it has been pair and issued. Applicant: Christh nw l vavu Chn&M&" �C4c29Print Name: signature J R&A mn dsk 216=7