HomeMy WebLinkAbout1301 Skyline Dr - Applications/Furnace - 03/03/2015May 12 2015 03:05PM One Hour Heating & Air 9706634097 page 2
City of Planning, f1� elopment & Transportation
}} 281 N. College Ave P.O. Box 580
o �0��1�15 Fort Collins, C 80524
Phone 970-41 -2740 Fax 224-6134
OVER-THE-COUNTER PER
This application is to be used to apply for the following permits only (che
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service than!
,VVeating 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 # g15(J'144{, c I c5Q� Aril Date
For office use only
rS ONLY
all that apply).*Air Conditioning
❑ Gas Lighter ❑ Gas Log
Sewer Line ❑ Photo -voltaic
A certified, provide make, model and
will not be accepted.
Sob Site Address (required)
Value of Construction
(labor, materials, profit)
1301 Skyline Drive
$11,2
5.00
Property Owner Name Address
City/State
Zip Phone
Kay Reed-Troudt 1301 Skyline Drive
Fort Collins CO
80524 970-484-2457
Applicant Name Address
City/State
Zip Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CO
80537 970-663-4002
Contractor Address
aty/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 hare
or by report? 0 Here ❑ Report
Sales tax number isrequlredbyallmnhactom
Are you paying with yoir
trust account? ® Yes ❑ No
Is this a residential or commercial project? fill Residential ❑ Commercial
If residential, is it: ® Single Family Detached ❑ Condo/townhome (single fai
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical off i
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or morel ❑ Yes m No Ifyes, youmayneed
If this Is for a demolition permit, what year was the building constructed?
Ypnor to 1975, you w111 need an asbestos assessment to submit with this acolimb
Description of work
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/C, n
Subcontractors, List the company name orGtyofRCollins baense#
Elecbidan Plumber Mechankal H-824
I hereby acknowledge that I have read this application and state that the above ii
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 Stacesy
Print Name: Signature
attached) ❑ Duplex
❑ Office ❑ Retail
contact Historic Preservation
licensed electridan.
Other
is complete and correct. I agree to
building construction. I know that a
Date 03/03/2015