HomeMy WebLinkAbout2420 Sheffield Cir W - Applications/Air Conditioner - 06/11/2015Jun 11 2015 09:41AM Gary Hooley Heat and Air 9702249198
page 2
Fort Collins
Planning, Development 81Transportatlon
281 N. Coilege'Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-41b-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). G Air Conditioning
0 Demolition (interior non-structural) ❑ Electrical Alteratlon (not service change) C3 Gas Lighter 0 Gas Log
O Heating Unit O Lawn Sprinkler 0 Mobile Home replacement 0 Roofing 17 Sewer Line ❑ Photo-voltdc
0 Ventilation 0 Water Heater ❑ Water Line 0 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 # a:j�)' 50 wee:-:3. Date 6/1112015
For ofAce aw only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2420 Sheffield Circle West
$2,649.00
Property Owner Name Address
City/State Zip
Phone
Leslie Barela 2420 Sheffield Circle West
Fort Colins, CO 80526
581-3945
Applicant Name Address
City/State Zip
Phone
Leslie Barela 2420 Sheffield Circle West
Fort Collins, CO 80526
581-3945
Contractor Address
0ty/State Zip
Phone
DS Shortridge / Gary Hoolil 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of FL Collins Sales Tax #
Are you paying taxes here or by report?
O Here U Report
S*5AaxnumberisrqulredbyaYcmdacmrs.
Are you paying with your trust account?
M Yes 0 No
34734
Is this a residential or commercial project? 0 Residential G Commercial
If residential, is It: 0 Single Family Detached G Condo/townhome (single family attached) 0 puplex
Q Multifamily (apartment) 0 Garage
If commercial, Is it G Bank ® Bar C3 Church 0 Hotel/Motel 10 Medical office 0 Office C Retail
Restaurant G Other (explain)
Is this building 50 years of age or morel o Yes 0 No If pies, you may need to conb3et Hlswrlc Pmw valfon
If this is for a demolition permit, what year was the building eonstrucbed?
lfpnror to 1975, you wl# necd an asbestos assessment to saber& with this appAution.
Description of work Replace arc
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first time AJC, must list licensed electrician.
Subcontractors: List the company name orCdyofFt Col#ns rwim f
Eectridan Plumber Mechanical H-1654 Roofer
Jl hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to