HomeMy WebLinkAbout5339 Jonathan Ct - Applications/Furnace - 04/27/2017Apr 27 2017 06:47AM Gary Hooley HVAC 9702241108 page 2
Cit f
Planning, Development aTransportattion
o281 N. Coilege'Ave P.O. Box 560 Q 1
Col jig Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVEWTHE-COUNTER PERMITS ONLY
This application IS to be used to apply for the following permits only (oheak all that apply). M Air Conditioning
O Demolition (1Maflor nort-structural) O Ek dcal Alteratlon (not service change) O Gas Lighter ❑ Gas Log
O Heating Unk 13 Lawn Sprinkler 0 Mobile Home replacement O Roofing O Sewer Line O Photo-vohnic
0 Ventilation G Water 1-14ater O Water Una O Wood(Pellet Stove (must be EPA certified, provide make, model and
manulachtrer).
Complete all applicable infformat(i�on o the application. Incomplete applications will not be accepted.
Application # v V no z� Daw 4/2712017
For M%W 4W Dryly
Job Site Address (regrnr WJ
Value of Construction (labor, materials, profit)
5339 Jonathan Court
$6,113.00
%,
ah
Property Owner Name Address
City/state
ap
Phone
Doug Krohn 5339 Jonathan Court
Fort ColUns, CO
80526
213.2048
Applicant Name Address
Oty/Stage
IIp
Phone
Doug Krohn 5339 Jonathan Court
Fort Collins, CO
SG526
213-2048
Contractor Address
Ctty/Stats
Zip
Phone
DC Shortrldge dba Gary H11 1314 Webster Avenue
Fort Collins, CO
8Ci824
493-3272
Contrsdhor City of r-L Collins Saks Tax #
Are you paying taxes here or by report?
M Here G Report
Saki Mar Aw"Oarh,egrrredarreamnascrws.
Are you paying wlth your trust account?
m Yes t7 No
34734
Is this a residential or cominerclal project? M Resldendal O Commercial
If residential, is It m 5lhgle Fancily Detached 17 Condo/townhome (single family attached) 0 Duplex
O Mordfamily (aparonent) 0 Garage
If comrnerdal, is as O 8dnk 0 Bar M Church 0 Matti/Motel C Medlml office C Office O Retail
G Rdstaurant O Other (explain)
Is this building 50 years 4f age or more? M Yes G No A`yek you may need to nawaa FiM& P1wreatlon
If this Is for a demaliitlon:pa.init, whet year was the building cons Licked?
jrprkv m 1e7Sy you ► enL•ed an mbeaV aggownent to submk MW M& ap 0laaYcn.
Description of work
*If lawn sprinklar/backflow preventer, must list licensed plumber, If first-time A/C, must list licensed dechric'an.
9uaeontrecbome L/stdlegomp'ueynenteorC7lyoll Co lkanse d'
qeaddan Creekslde Electric pru r Mechenl®i H-1e54 AaAr +Other
I hereby advwwiedge that { have read this application and state that the above W nnatlon is complete and correct. I agree to
comply Wt h all regrdrements eontalneil herein and city ordinences and state laws regulating building construction. I know that a
permit IS not valid until lkhas been paid and Issued.
APpIIWftPrint Name; Shelly Swanson sl n'etura �C4 4 Al ?4SW Dab+12-2 b