HomeMy WebLinkAbout1324 Robertson St - Applications/Air Conditioner - 07/11/2016JUL-06-2016 03:43PM FROM-
9704848364 T-579 P.016/017 F-020
rt Collins
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). )4A!r 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 applications will not be accepted,
Application # 8/10028 �S Bate
Porawe use only
Is this a residential or cgmmercial project? ,(Residential d Commercial
If residential, is it: J& Single Family Detached ❑ Condo/townhome (single family attached) Cl 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? f8l±yes ❑ No Ifyes, you may need to contact Historlcpreservation
If this is for a demolition permit, what year was the building constructed?
if pdor to 1975, you will need an asbestos assessment to subm/t with this appllcet/on.
Description of work
*If lawn sprinldcr/backnow pieventer, must list licensed plumber. If first-time A/C, must list licensed electrician,
Subcontractors: List ibe company name or City of Ft Coll/ns /!tense 0
Electrician_ -Plumber_ Mechanical- H1309 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 D-1 V W 1 L0