HomeMy WebLinkAbout4107 SUNCREST DR - APPLICATIONS - 3/5/2020 (2)FCity of ,�i , Planning, Developmen4 & Transportation Services
ort Collins Community Development & Neighborhood Services
�- 281 North College Avenue
Fort Collins. CO SD524 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 non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Ur`d ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation Water Heater f] Water line ❑ Wood/Pellet Stove (must be EPA certified. provide make, model and
manufacturer)/ X
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application #.
Date March 5, 2020
Job Site Address (nWL*ad) Value of Construction (labor, materials, profit)
4107 Suncrest Drive, Ft Collins, Colorado 80525 $1249.00
Property Owner Name Address city/State 71p Phone
Frank Wish 4107 Suncrest Dr Fort Collins, CO 80525 947-637-5177
Applicant Name Address City/State Zip Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State Zipp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report? ❑ ❑ ere Report
SWestwnrurrber krr byaffaV&Jtinrx Are you paying with your lust account? VYes ❑ No
10010
Is this a residential or qpmmerdal project? Recidentlal ❑ commercial
If residential, is it: V Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Muliifamiy (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Mate! ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 17 No If y'"c, you may►teed to contact ff5tark Awsenobba
If this is for a demolition permit, what year was the building constructed?
Description of work P ^w ex"na wa"r heaW as re,1=with rke ^ watw heatu
*If lawn sprinkler/baddlow prevents•, must list kensed plumber. If fast -time A/C, must list licensed electrician.
Subrordrmctors: List Me company name orOly/afFtCBfbrs6awtse 0
semwan Plumber Mediantol Roofer Other
I hereby acknowledge that 1 have read this appruation and state that the above infatuation Is complete and correct I agree to
comply with all requkements contained hereln and my ordinances and state laws regulating building construction. I know that a
permit is not valid urrbl it has been paid and issued. &fflate
Applicant: Chvi4twtcr Evanb
Prirmt Name 5grmatureI
W M" 510 zo