HomeMy WebLinkAbout4615 MORNING DOVE LN - APPLICATIONS - 7/16/2018Cityor Planning, Development, & Transportation Services
Tort Coltins 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 ❑ Gas Log
❑ Heating Unit P Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation V 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 # ✓'OO S �o Oy Date July 16, 2018
For ofce use only
Job Site Address (required) Value of Construction (labor, materials, profit)
4615 Morning Dove Ln #3, Fort Collins, CO 80526 $2,400.00
Property Owner Name Address city/State Zip Phone
Greg Cashman 4615 Morning Dove Ln #3 Ft Collins, CO 80525 443.523.2115
Applicant Name Address Clty/State Zip Phone
Christina Evans 101 S Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State Zip Phone
Allen Service 101 S Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑pere ❑ Report
sales tax number isregwiedbyall contractors. Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or c9mmercial project? Residential ❑ Commercial
If residential, is it: VSingle 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 ❑ 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 Remove existing water heater and install new water heater.
*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 #
Electrician Plumber Medianical Roofer Other
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 hereln 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: } G /f� L-? Print Name: Christina Evans signature 's + (� .q "A r 1/fDate July 16, 2018
Rev, c ai date 2WOV