HomeMy WebLinkAbout601 Alpert Ct W - Applications/Furnace - 12/08/20114
Cityof
ort'Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CD 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). D Air Conditioning
O Demolition (interior non-structural) O Electrical Alteration (not service Change) O Gas Lighter O Gas Log
O Heating Unit O Lawn Sprinkler ❑ Mobile Home replacement O Roofing G Sewer Line 17 Photo -voltaic
O Ventilation 0 Water Heater C Water Line Q Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer),
Complete all applicable Information on the applleatio . Incomplete applications will not be accepted. CD
Application Applicati0n # I I I I I Date December 8, 2011 t1�
For oA9ee use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
601 W Alpert Ct
$1764.00
Property Owner Name Address
City/State Zip
Phone
Armadillo Property Mgt 521 N Taft Hill Rd
Fort Collins 80521
482-9293
Applicant Name Address
City/State Zip
Phone
Armadillo Property Mgt - 521 N Taft Hill Rd
Fort Collins 80521
482-9293
Contractor Address
city/State Zip
Phone
Gary Hooley Heating 8. Air 1314 Webster Ave
Fort Collins 80524
493-3272
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
O Here 17 Report
Saes tax nw0arisreoidredbyall contmaws.
Are you paying with your trust account?
O Yes O No
34734
Is this a residential or commercial project? M Residential O Commercial
Ir residential, is It: 17 single Family Detached D Condo/townhome (single family attached) O Duplex
O Multifamily (apartment) G Garage
If commercial, Is It: 0 Bank 12 Bar O Church ❑ Hotel/Motel 13 Medical office O Office 0 Retail
C3 Restaurant O Other (explain)
Is this building 50 years of age or more? 13 Yes O No If yes, you may need to contact H/storlc Preservation
If this Is for a demolition permit, what year was the building constructed?
if prior to 1975, you Wh need an asbestos assessment to submit with this app/lcatlon.
DCsc,lpti0n of work Renlace rurnaen
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the companyname orQty of Ft Collins l/ceme 0
Mcctridan Plumber Mpchmical M-td54 Rooter 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.
Applicant:e I Johnson PrintntSheryl ry _Signature � .� �%+` Date I I
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