HomeMy WebLinkAbout1424 Front Nine Dr - Applications/Mechanical - 07/22/2016JUL-21-2016 08:35AM FROM-
9704848354 T-685 P.007/008 F-428
-'oirt 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). ❑ Air Conditioning
❑ Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit Q 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 # 811P0 yc9,3 0 Date —7l
For office use only
Is this a residential or commercial project? 411esidential ❑ Commercial
If residential, is it: Q Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
Q 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? ❑ Yes ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you w/ll need an asbestos assessment to submit with this applicat lon.
Description of work
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: L/st the company name or City of Ft Collins license 4,
Electrician Plumber Mechanliml 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: MWiryme (0 01/ I6
Print Name:_ Angela Morrow Signature bate _.