HomeMy WebLinkAbout1913 Overlook Dr - Applications/Furnace - 07/08/2015Jul 08 2015 01:04PM Gary Hooley Heat and Air 9702249198
page 2
Fort Coltins
Planning, Development &Transportation
281 N. Coilege'Ave P.O. Box 580
Fort Collins, CIO 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). O Air Conditioning
O Demolition (interior non- l) O structuraElectrical Alteration (not service change) O Gas Lighter 0 Gas Log
m Heating Unit ❑ Lawn Sprinkler ❑ Mobille'Home replacement O Roofing ❑ Sewer Line 0 Photo -voltaic
17 Ventilation ❑ Water Heater ❑ Water Line 0 WoodfPellet Stove (must be EPA certified, provide make, modes and
manufacturer).
Completa all applicable Information on the application. Incomplete applications will not be accepted. l
$15051�$
Application # $1506ML Date 7/8/2015
Fiorofte use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
1913 Overlook Drive
$5,463.00
Property Owner Name Address
city/State Zip •
Phone
Pamela Norris 1913 Overlook Drive
Fort Collins, CO 80526
690-8393
Applicant Name Address
city/state Zip
Phone
Pamela Norris 1913 Overlook Drive
Fort Collins, CO 80526
690-8393
Contractor Address
City/State Zip
Phone
DS Shortridge / Gary Hoolfj 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
ir7 Here O Report
5des tax nwoba rsreWredbyall mnfiadvrs .
Are you paying with your trust account?
O Yes CI No
34734
Is this a residential or commercial project? 0 Residential 0 Commercial
If residential, Is IC M Single Family Detached 0 Condo/townhome (single family attached) 0 Duplex
0 Muttifamlly (apartment) 17 Garage
If commercial, Is it, 0 Bank 0 Bar ❑ Church 0 Hotel/Motel 0 Medical office 0 Office 0 Retail
G Restaurant 0 Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No lfpw, you mayneed to cmdact Hlstorrc Preservation
If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, ynu w111need an astlestas assessment to submJt ►1th hVsappHcairon
Description of work Replace air conditioner and furnace
*If lawn spr1nkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors; 11st fire cnrrrpany name or City of Ft ColNns lnrnse d
6ectrreian Plumber MedianWi H-16% 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 -taws regulating building construction. I know theta
permit is not valid until'it has been paid and Issued.
pprint Name; Shelly Swanson Signature (� /, .t �r%.7
U " 1�.� Date 7