HomeMy WebLinkAbout1412 Osprey Ct - Applications/Mechanical - 09/23/2016SEP-08-2016 08:OOAM FROM -
9704848354 T-146 P-025/025 F-819
Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524 2101 oZf „Phone 970-416-2740 Fax 224-6134 v
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 L) 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 # 3I l�05��� Date
For off" uste only
Is this a residential or commercial project? 011esidential ❑ Commercial
If residential, is it., INSingle Family Detached ❑ Cando/townhome (single family attached) ❑ Duplex
❑ ,Multifamily (apartment) ❑ Garage
If commercial, is it: CI Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
4 Restaurant 0 Other (explain)
Is this building 50 years of age or more? O 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 will need an asbestos assessment to submit with this appllrehon.
Description of work
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: I pt the company name or City of Ft Collins license #
Electrician �r-V+•-� ll 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.
Pint N m�Ie: Angela Morrow Signature4z&
II Yrl/W pate 9115116