HomeMy WebLinkAbout2009 Valley Forge Ave - Applications/Furnace - 11/03/201511/03/2015 7:34 AM 14154847068 >19702246134 02
City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES.
F6rt Coftins 2si N. College Ave. • Fort Ceilitla, Co s8s 4 • Phenei, 970.410.2740
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BUILDING PERMIT APPLICATION
APPLICATION. NtJR113ER h 1DATE-
job
(Alt owner laWnisMon is inquired - itla not optional) IPhone.11ll
Last.name Leland First Name Shawn Middle
Street Address 2009 Valley Forge Ave. gym, Fort Collins state Xlp •80
526
C®NTRAC r®R INFtI: Company Name Cooper Beating & Cooling, Inc.. Contractor Phone 303-466-4209
Lic Holder Name Gary Cooper City of Fort. Collins License # 3819-H pervisor Cert.#
Mailing Address 11780 Colmans Way city Broomfield state co zip 80020
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CgW&rlautJXLQH INFOi 'Total Building Sq Ft (noi indudin0 basement) Total Garage Sq Ft
Residential Sq Ft Comrn l.Sq Ft # of Stories Bldg Height # Dwelling Units
1°' Floor Sq Ft 20 Floor Sq Ft 31d Floor Sq Ft Unflished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths Y, Baths %s Baths # of Fireplaces
Air Condilloning: Yeti Energy info: ( Circle eppmpriete choirs) 1.'ComCheck 2. ResCheck wlAir Sealing 0 .
3. ResChedc wJBlower Door. 4. Simulated Performance Aitamative® 3. Prescriptive w/Air Sealing B. Prescriptive w/ t3lower Door
City of Fort Collins Stock Plan 9 List appropriate.option #s
&ITILJT1 S INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[]Tamp. Pedestal Yes No a
Type of Heat: Gas ®Electric Electric Main Breaker Size (Residential only) 1:1160 Amp or Less 1:1 200 Amp '[]Other
Value of Construction (including labor, material & profit) y 4705
Description of work: Install Replacement 70K BTU 98% Furnace
Maineeovitact s Phone I like t^.na-r 3OM59-00 7
S bcoatrac4or Into• •
Electrical Mechanical Plumbing
Framer
Roofing
Concrete Fireplace
Solar Other Other Other
Applicant: I hereby a edge,! t I hav d this application and state that.the above Informatim is corrsrt and agree to comply rvNh e11 repair®manta
contained herein and Fort ordln noes and state laws regulating building oonstruction.
Applicant signs Pant Name
Roldah phone-466-4209
Distribution: - Whit®- attice Yellow- Applicant: Pink - WVVW/Stormwater