HomeMy WebLinkAbout6774 Colony Hills Ln - Applications/Air Conditioner - 07/14/2015Jul 14 2015 12:42PM One Hour Heating & Air 9706634097
page 2
of
Fort Colllns
Ining, ' elopment & Transportation
N. Coll Ave P.O. Box -
Collins, 80524
le 970-4 -2740 Fax 224-6134
OVER-THE-COUNTERI PERMITS ONLY
This application is to be used to apply for the following pern
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not
M Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Si
manufacturer).
Complete all applicable Information on the application. Inca
Application #�1�5�1.1 •� I�..
For o> tca use only
sonly(chet all that apply). M Air Conditioning
Brvice chan ) ❑ Gas Lighter ❑ Gas Log
❑ Roofing Sewer Line ❑ Photo -voltaic
re (must be PA certified, provide make, model and
l
plate appy I tions will not be accepted.
ate II
Sob Site Address (required)
Value of C
ruction (labor, materials, profit)
6774 Colony Hills Lane
$10,
15.00
Property Owner Name Address
ity/State
Zip Phone
Tony Armstrong 6863 Kaslam Court Foi
t Collins, Cc
80525 970-581-3938
Applicant Name Address
ity/State
Zip Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CC
80537 970-663-4002
Contractor Address
City/State
l ZIP Phone
One Hour Heating & Air 487 Denver Avenue
oveland, CC
80537 970-663-4002
Contractor Clty of Ft Collins Sales Tax # Are you
paying taxes
here or by report? ® Here ❑ Report
Sales tax number rsreau/red by allconaactors Are you
paying with
I
r trust account? ® Yes ❑ No
Is this a residential or commercial project? El Residential ❑ Cc
If residential, is it: ® Single Family Detached ❑ Condo/townh
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes,
If this Is for a demolltion permit, what year was the building con:
Yprior to 1975, you will need an asbestos assessment to submit wl
e (single ly attached) ❑ Duplex
Medical o t ❑.Office ❑ Retail
RAM
contact Historic Preservation
Description of work Replace furnace, AC and eva ortive colt
*If lawn spriniderfbackflow preventer, must list licensed plumber. If fir.,
Subcontractors: List the rompany name or CV of Ft Collins tic anse o
Electrician Plumber Mechanical H
-time A/C, m
824
list licensed electrician.
Cofel Other
I hereby acknowledge that I have read this application and state that th above Ii
comply with all requirements contained herein and city ordinances and to laws
permit is riot valid until it has been paid and issued.
Applicant' Stacey Schmidt
Print Name: Signature
is complete and correct. I agree to
building construction. I know that a
Date 07/14/2015