HomeMy WebLinkAbout2630 Red Mountain Ct - Applications/Furnace - 04/07/2016APR-07-2018 10:44AM FROM -
9704848354 T-819 P-002/002 F-069
Fort Catlins
Planning, Development & 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
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applicationsvill 77A
be accepted.
Application # L�� ���'� Date`
For office use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
Y
14505
Property Owner Name A dress
City/Sta Zip
Phone
I,& 0�5) &J Hout
d �J'
- 105
App icant Name Address
City/State Zip
Phone
'Fort Collin-, Heating and Air 209 Commerce
DT—A4 Fort Collins, CO 80514
9 -3
Contractor Address
City/State Zip
Phone
Fort Collins Heatina 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
Wes tax number ismquiredbyall cun&acbrs
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? &Residential ❑ Commercial
If residential, is It: 0 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: 13 Bank ❑ Bar ❑ Church i3 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building So years of age or more? D Yes 13 No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifarlor to 1975, you will need an asbestos aswssi wt to submit with this appl/catron.
Description of work
*If lawn sprinkler/baddlow preventer, must list licensed plumber. IF first-time A/C, must list licensed electrician. -
Subcontractors: W the company name or Gly of Ft Collins license ,#
ElecWdan Plumber Mechanical 141309 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 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 1l7/6