HomeMy WebLinkAbout1213 Robertson St - Applications/Mechanical - 12/02/2014Dec 04 2014 05:23PM One Hour Heating & Air 9706634097
Cit�+y/t}of Planning,
o l Collins Fort ColCols,
Phone 970--
OVER-THE-COUNTER
This application is to be used to apply for the following permits only (chr
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service than
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be
manufacturer).
Complete all applicable information on the application. Incomplete applii
Application # 'gl *1 ?vl"1� Date
For ofte use only -
relopment & Transportation
Ave P.O. Box 580
80524
Fax 224-6134
ITS ONLY
all that apply). ❑ Air Conditioning
❑ Gas Lighter ❑ Gas Log
Sewer Line ❑ Photo -voltaic
A certified, provide make, model and
will not be accepted.
Job Site Address (required)
Value of Cor
struciion (labor, materials, profit)
1213 Robertson Street83.
4� atZ 6-0
Property Owner Name Address
City/State
Zip
Phone
Frank Curtis 1213 Robertson Street Fort Collins, Co80524
970-214-6612
Applicant Name Address
City/State
ZIP
Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CO
B0537
970-663-4002
Contractor Address
City/State
Zip
Phone
One Hour Heating &Air 487 Denver Avenue
Loveland, CO
80537
970-663-4002
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes
ere or by report?
91 Here ❑ Report
sales tax number is required byal/mniractom.
Are you paying with your
trust account?
K Yes ❑ No
Is this a residential or commercial project? IRI Residential ❑ Commercial
If residential, is it: 2 Single Family Detached ❑ Condo/townhome (single fal
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical ofFli
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, you mayneed
If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, you will need an asbestos assessment to submit w/th this applicab
Description of work
coil
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/c, n
subcontractors: UstMecompany name 0,atyofftCo/llnslkense#
Electrician Plumber Mechanical H-824
I hereby acknowledge that I have read this application and state that the above li
comply with all requirements contained herein and city ordinances and state laws
permit is not valid until it has been paid and issued.
Applicant: Stacey Schmidt S
Print Name: Signature
attached) ❑ Duplex
❑ Office ❑ Retail
contact Historic Preservation
list licensed electrician.
Other
Is complete and correct I agree to
building construction. I know that a
Date 12/02/2014