HomeMy WebLinkAbout631 Skysail Ln - Applications/Air Conditioner - 12/28/2015DEC-28-2015 11:34AM FROM-
9704848354 T-098 P.002/002 F-093
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Call�ns
Planning, Development 8e Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 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). ❑ Air. Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
O Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater Cl Water Line ❑ Wood/Pallet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application.
Application # `✓�5� b�
For offlm use only
Incomplete applications will not be accepted.
Date I a a 6 Z 15
Job Site Address (required)
Value of Construction (labor, materials, profit)
631 Skysail Ln. 80525
$5,931
Property Owner Name Address
City/State Zip
Phone
Shannon Debus 631 Skysail Ln
Ft. Collins, CO 80525
310-5481
Applicant Name Address
Fort Coiling Heating and Air 20R Commerce
city/State Zip
Dr. #4 Fort Collins, CO 80524
Phone
(970.) 31715_147R
Contractor Address
City/State Zip
Phone
Fort Collins Heating and Air 208 Commerce Dr. #4 Fort Collins CO 80524
970 484-4552
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
5arw&Vnumberisrequ#&byaffconrractws
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential ❑ Commercial
If residential, is it: Cl Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? O Yes O No If yes,, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If pNor to 1975, you will need an asbeeslas assessment to submit with this application.
Description of work AC install
*If lawn sprinlder/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or City of R Co//!ns Acense N
Secp;oan OnCall Plumber Mechanical H1309 Roofer Other
I hereby admowledge 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 laws regulating building construction. I know that a
permit is not valid until It has been paid and issued,
Applicant:
Print Name: Angela Morrow Signature
Date
12/24/2015