HomeMy WebLinkAbout1013 Bitterbrush Ln - Applications/Air Conditioner - 06/26/2017Jun 23 2000 1212AM One Four Heating & Air 9706634097
page 2
`rt Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fart 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
Cl Demolition (Interior non-structural) ❑ Electrical Alteration (not service change) 0 Gas Lighter O Gas Log
81 Healing Unit ❑ Lem Sprinkler ❑ Mobile Home replacement ❑ Roofing O Sewer Line O Photo -voltaic
0 Ventilation ❑ Water Heater O Water Line ❑ Wood/Paget Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application.. Incomplete applications will not be accepted.
Application #6-40414 ��O3�r70atie TD-ZIo - !�
ForoJPke ran m*
Sob Site Address (nagrcbeW
Value of Consbructlo (labor, materials, profit)
1013 Bitterbrush Lane
$23,731.00
l JL3(, 0 5o r., �
Property Owner Name Address
City/State
ZIp
Phone
Darlene and Jerry Kruse 1013 Bitterbrush Lane
Fort Collins, CO
80526
970-568-8233
Applicant Name Address
City/State
27p
Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CO
80537
970.292-5769
Contractor Address
City/State
Zip
Phone
One Hour Healing & Air 487 Denver Avenue
Loveland, CO
00537
970-292-5769
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or
by report?
M Here O Report
Sa/estarnumber knVL&Wbyarcvn&wrwR
Are you paying with your bug account?
KI Yes ❑ No
Is this a residential or commercial project? M Residential 0 Commercial
If residential, Is it: 0 single Family Detached O Condo/iownhome (single family attached) ❑ Duplex
0 Muibfamily (apartment) 0 Garage
If commercial, Is It: ❑ Bank O Bar 0 Church O Hobel/Motel 0 Medical office 0 Office 0 Retail
O Restaurant O Other (explain)
Is this building SO years of age or more? O Yes O No Jrym you may need to ctutact HlsrorkPresrervabion
If this Is for a demolition permitk what year was the budding constructed?
Ifp w to 1975, yxw w19neied an as:deslas assessment Lv A&W xnrh bbis aPPAW yon.
Description of work Replace furnace. Install AC and evaporative coil.
*7 lawn sprinkler/backi'low preventer, must list licensed plumber. 1f first-time A/C, must list licensed electrician.
Subcontractors: Lst the crogny name or 0& of Ft C Akins Nwnw 0
secvxdan ME-1556 Plumber mechanical H-924 Roofer
Other
I hereby acknowledge that I have read this application and state that the above liftatlon is complete and correct. I agree bo
comply with all requirements contained herein and city ordinances aril state laws regulating building construction. I know that a
permit Is not valid until it has been paid and Issued.
Applicant, Stacey SchnUdt
Print Name: Signature
St" Su"t 0
DM 06/22/2017