HomeMy WebLinkAbout1737 Norwood Ln - Applications/Furnace - 06/24/2014FROM :NCA FRX NO. :9702299983 Jun. 23 2014 01:33PM P3/4
Planning, Development & Transportation
City of 281 N. College Ave P.O. Box 580
Fort Collins Phone
Collins, CO27404
Phone 97a-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). ¢ Air Conciltioning L$
❑ emolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighte/ ❑ Gas Log
Heating Unit A Lawn Sprinkler 0 Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Hester L] 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 # m OT, Date 1
A'or 01Ace use only
Is this a residential or commercial project? oResidential ❑ Commercial
If residential, is it: Single Family Detached ❑ Condo/townhome (single family attached) El Duplex
Multifamlly (apartment) " ❑ Garage
If commercial, is it: ❑ Bank O Bar ❑ Church CI Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building So years of age or more? A Yes prNo if yes, you may need to Contact Historic Preservat/on
If this is for a demolition permit, what year was the building constructed?
if plior to 1975, you wi/l need an asbostos assessment to submit with this applieation.
Description of work
*If lawn sprinkler/badcFlow 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 9
Electrician • . Plumber Mechanical, .. 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.
Applicant:
Print Nam
Date