HomeMy WebLinkAbout4107 SUNCREST DR - APPLICATIONS - 3/5/2020 (3)F&City of Planning, Development, & Transportation Services
t Cckins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162741) 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 LigO )7 Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing Q 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 #
forONCE rye molly
Date March 5, 2020
]ob Site Address (ragL*ed) Value of Construtiion (labor, materials, profit)
4107 Suncrest Drive, Ft Collins, Colorado 80525 $7250.00
Property Owner Name Address City/State Zip Phone
Frank Wish 4107 5uncrest br 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 484-4842
Contractor City of Ft. Collins Sates Tax # Are you paying taxes here or by report? ❑yere ❑ Report
-Wes tarnwnb rh;n pdrmbyallmr*armrs Are you paying with your trust acamtl WYes ❑ No
10010
Is this a residential or 7mmerdal project? VResiclential ❑ Commercial
If residential, is it V Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ MuMmiy (apartrnent) ❑ Garage
If commercial, is it ❑ Bank ❑ Bar ❑ Church ❑ Hobel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes O No Yye.!, ycw maynead to axa tthksk& Prese[tr dw
If this is for a demolition permit, what year was the building constructed?
Description of work kamwedsimACadrpl=.mhlike � AC
*If lawn sprint ler/baddiow preventer, must list licensed plumber. If first-time A/C, must fist licensed elect idan.
Subcontractors:L&MemmcanynameorGLyofftCbXmhhwse#
Elect ridan Plumber Mechankai Roofer Odier
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 stabe laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: C1wLstF.ala.Evan4 �(E)LW
Print Name: SignatureDate
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