The URL can be used to link to this page

Home My WebLink About2709 Fairwater Dr - Applications/Air Conditioner - 10/15/2015Oct 08 2015 11:55AM One Hour Heating & Air 9706634097 page 4 fickyof FOirt COLlins OVER-THE4DOUNTER Planning, elopment & Transportation 281 N. College ve P.O. Box 580 Fort Collins, C 80524 Phone 970-416 2740 Fax 224-6134 This application Is to be used to apply for the following permits only (chi 13 Demolition (interior non-structural) ❑ Electrical Alteration (not service chan 0 Heating Unit O Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing D Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stow (must be manufacturer). Complete all applicable information on the application. Incomplete appll Application # F) ! 0-0 `lwl;�' Dade For ofteuse only i''S ONLY all that apply). Air Conditioning ❑ Gas Lighter ❑ Gas Log Sewer Line ❑ Photo-vo8aic A certified, provide make, model and 3 will not be accepted. I o Sob Site Address 0wo ed) Value of CoiLstruction (labor, materials, profit) 2709 Falrwater Drive $5,87 .00 Property Owner Name Address Cfty/State Zip Phone Maura Buckner 2709 Fairwater Drive Fort Collins, CO 80524 '970-481-6962 Applicant Name Address Qty/State Zip Phone One Hour Heating & Air 487 Denver Avenue Loveland, CO 80537 97M53-4002 Contracbor Address Clty/State ZIP Phone One Hour Heating & Air 487 Denver Avenue Loveland, CO 80537 070-663-4002 Contractor City of R. Collins Sales Tax # Are you paying taxes h ere or by report? 10 Here ❑ Report Meg ftywmbferisrep~byaffm aacrovs. Are you paying with yo ur trust account? M Yes a No is this a residential or commercial project? ® Residential ❑ Commercial If residential, Is ft: ® Single Family Detached 13 Condo/townhone (single faro ly attached) ❑ Duplex 13 Multifamily (apartment) E3 Garage If commercial, Is It: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical offi 13 tNfice ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of ape or more? l3 Yes O No If yes, phi may need cvnlad HLsloriC Pres whbn If this is for a demolition permit, what year vms the building construdhed? Ifpntu- to Z975, you w#1 need an asbestos assessment to submit u fri ffils apalka . Description of work *If lawn sprinlder/backflow preventer, must list licensed plumber. If first -fame A/C, n Subeontratbors: List Me cwnpanyname or ay offtCoffins /hrnse d Eectidan Plumber Medtankai 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 ieaued. Applicant: Stacey Schmidt Print Name: signature list licensed elecirician. is complete and correct. I agree to building constructlon. I know that a .,atolsJ Is