HomeMy WebLinkAbout2267 Silver Oaks Dr - Applications/Mechanical - 07/22/2013Jul 22 2013 10:20AM Gary Hooley Heat and. Air 9702249198
page 2
Fort of
Planning, Development r3F Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). M Air Conditioning
❑ Demolition (interior non-structural) O Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
E3 Ventilation ❑ Water Heater ❑ Water Line O WoocVPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application # 5 1 �%-� 16
For o>1Ce use only
Date 7/22/2013
Job Site Address (required)
Value of Construction (labor, materials, profit)
2267 Silveroaks Drive
$3,759.00
property Owner Name Address
City/State Zip
Phone
Dave Colliton 2267 Silveroaks Drive
Fort Collins, CO 80526
227-6788
Applicant Name- Address..---
.-- _ _ _ -City/State - -- -Zip- -
-- - -Phone -
Dave Colliton 2267 Silveroaks Drive
Fort Collins, CO 80526
227-6788
Contractor Address
City/state Zip
Phone
Gary Hooley Heating 8 Air 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
O Here 0 Report
Saiestax nwnbw sregaredbya#cvnrracns.
Are you paying with your trust account?
G1 Yes O No
34734
Is this a residential or commercial project? 17 Residential C] Commercial
If residential, is It n Single Family Detached ® Condo/townhome (single family attached) 8 Duplex
0 Multifamily (apartment) ® Garage
If commercial, is it: ® Bank 0 Bar G Church 0 Hatei/Motel 17 Medical office ® Office 13 Retail
t7 Restaurant 0 Other (explain)
Es this building SO years of age or more? ❑ Yes O No If yes, you may need to contact Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
If prAor to 1975, you will need an asbestos assessment to submit with this appllration.
Description of work install 3 ton condensing Unit
*If lawn sprinkler/backflovl pneventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Submntractors: L&the company nmreoiCity ofRColllnsH'cvnse
L9ecttrk9art Creekside Wumber Mechanlcal H-1654
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 herein and city ordinances and state laws regulating building construction. I know that a
penny-t is not valid until it has been paid and Issued.
Appikanb Shell Swanson
print Name: Y Signatures 1 i L� � X I Vl_�'Va� Date %