HomeMy WebLinkAbout2111 S College Ave - Applications/Mechanical - 02/18/2014Feb 18 2014 05:11PM Gary Hooley Heat and Air 9702249198
page 2
Fort Coltins
Planning, Development & Transportation
2113 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). 0 Air Conditioning
0 Demolition (interior non-structural) O Electrical Alteration (not service change) 0 Gas Lighter ❑ Gas Log
* Heating Unit 13 Lawn Sprinkler G Mobile Home replacement 0 Roofing 0 Sewer Line G Photo -voltaic
D Ventilation 17 Water beater ❑ 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 # JF ICJO 06 Date 2/18/2014
Foroffke use only
Sob Site Address (required)
Value of Co
materials, profit)
2111 South College Ave., Unit E
$4.809.00
iiw
Property Owner Name Address
City/State
Zip •
Phone
Bank Center Group' PO Box 271731
Fort Collins, CO
80527
482-4167
Applicant Name Address
City/State
Zip
Phone
Bank Center Group PO Box 271731
Fort Collins, CO
80527
482-4167
Contractor Address
City/State
Zip
Phone
Gary Hooley Heating & Air 1314 Webster Avenue
Fort Collins, CO
BD524
493-3272
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
G Here M Report
sates tax nwrrrberisrequuedbyarcorwxiora.
Are you paying with your trust account?
M Yes ❑ No
34734
Is this a residential or commercial project? O Residential W Commercial
If residential, is it: 0 Single Family Detached ® Condo/townhome (single family attached) G Duplex
G Multifamily (apartment) B Garage
If commercial, Is it: G Bank 13 Bar G Church 9 Hotel/Motel O Medical office M Offlre ❑ Retail
f7 Restaurant G Other (explain)
is this building 50 years of age or more? ❑ Yes D No V yes, you may need to contact Hlstorrc Preservation
If this Is for a demolition permit, what year was the building constructed?
Ifprlor to 1975, Mu w/l/need an asbestas assessment to submit with this application.
DesaIptlon of work
*If lawn sprinkler/backnow preventer, must Ilst licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or CV ofFt Collin J/cemse .d'
Sectrician Creekslde Plumber 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
permit is not valid until it has been paid and Issued.
Appti
print y Shell Swanson
. ame: Signature
Data