HomeMy WebLinkAbout4107 SUNCREST DR - APPLICATIONS - 3/5/2020CRY. of Planning, Development & Transportation Services
�FOrt COttit�S Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 Fax 970224.6134
OVER-THE-COUNTER PERMITS ONLY X
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
❑�/enhlation ❑ 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 #,
rarDfike rile only
Date March 5, 2020
lob Site Address (requ/ied) Value of Construction (labor, materials, profit)
4107 Suncrest Drive, Ft Collins, Colorado 80525 $7250.00
Property Owner Name Address Clty/Stab! Zip Phone
Frank Wish 4107 Suncrest Or Fort Collins, CO 80525 947-637-5177
Applicant Name Address aty/State Zipp Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State 71pp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 4844841
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑Mere ❑ Report
'WectaarixnnberSragvuadbya9mr>Ir fi= Are you paying with your trust account? VYes ❑ No
10010
IS this a residential or merdal pmjed? Rdential ❑Commercial
If residential, is it or
Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
Cl Restaurant ❑ Other (explain)
Is this bubkfing 50 years of age or more? ❑ Yes ❑ No Yf w, yw mayneed to con=Nsb* fleswlra0an
If this is for a demolition pemik what year was the building constructed?
Description of work P 1 m earring few ad ^epl� wfn like re f==
*If lawn spdnlder/baddlow preventer, must IM licensed plumber. If first-time A/C, most fist licensed electridan.
Subcontractors UstffiecampanynameararyofFtCadirm hbww 0
EleW tan Plumber Medhanlral Roofer Other
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I hereby acknowledge that I have read this application and state that the above information is complete and correct I agree bo
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: CJwi4Vtuuv£vaxi6 OUVW�VO-/A paw 'b (z
Print Name: Signature
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