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Home My WebLink About2806 Balmoral Dr - Applications/Furnace - 08/22/2013Aug 22 2013 02:31PM Gary Hooley Heat and Air 9702249198 page 2 Fort Collins Planning, Development & Transportation 281 N. College•Ave P.O. Box 580 Fort Colllns, 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). O Air Conditioning O Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log M Heating Unit ❑ Lawn Sprinkler O Mobile Home replacement ❑ Roofing ❑ Sewer Line G Photo -voltaic O Ventilation C3 Water Heater C3 Water Line O 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 # (J ► �i g Fvr oliice use only Date 8/2212013 Sob Site Address (required) Value of Construction (labor, materials, profit) 2806 Balmoral Drive $2,253.00 Property Owner Name Address City/State Zip Phone Dan Spelts 605 So. Harlan Street Lakewood, CO 80226 214-3238 Applicant Name Address City/state Zip Phone Dan Spells 605 So. Harlan Street Lakewood, CO 80226 214-3238 Contractor Address Clty/State Zip Phone Gary Hooley Heating & 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 O Report Saks tax rwnwerrsreWredbya// mmractDIn Are you paying with your trust account? D Yes ❑ No 34734 Is tills a residential or commercial project? M Residential 0 Commercial If residential, is it: Ct7 Single Family Detached ® Condo/townhome (single family attached) 0 Duplex 0 Multifamily (apartment) 13 Garage If commercial, Is It: 0 Bank 0 Bar C3 Church 9 Hotel/Motel U Medical office U Office 0 Retail 0 Restaurant C3 Other (explain) Is this building 50 years of age or more? ❑ Yes 0 No If yes, you may need to contact H1stOric Prese wUan If this Is for a demolition permit, what year was the building const iictied? Yprlor to 1975, yvu rv111 need an asbestos assessment to submit wllfi this application. Description of work $enlace furnace *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: t.lst the company name or City of Ft Collins license # Eectridan Cre&'He Purnber Mechanlml H-1654 Roofer 61'r 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 Imow thata permit is rmt vadfd until'it has been paid and issued. � nt Name: Shelly Swanson Date