HomeMy WebLinkAbout600 Cornell Ave - Applications/Air Conditioner - 06/30/2017Jun 30 2017 05:56AM Gary Hooley HVAC 9702241106
Page 2
Fort Callers
OVEWTHE-CO
Planningd development RTransportatfon
261 N. College Ave P.O. Box Sao
Fort CAlllns, 00 80524
Phone 970-416-2740 Fax 22+5134
PERMITS ONLY
This application Is to be used to apply for the following permits only (check all that apply). Z Alr Conditioning
O Demolition (interior non-structural) O Electrical Alteration (not service change) 0 QU Ughter 0 Gas Log
m Heating Unit D Lawn Sprinkler O Mobile Home replacement O Hoofing 0 Sewer Line U Photo -voltaic
G Ventilation C3 Water Heater A Water Line O WOOd/Pellet Stove (must be EPA cortliteed, provide make, model and
manufacturer).
l
Complato all applicable Information on the application. Incomplete applications will not be accepted.
Appllcatlon # 517018 pate 6130/2017
far ofity UN only if
Job Site Address (reWkw)
Value of Conetructlon (labor, materiels, profttj
600 Connell Avenue
$5;1�9 9& Z 674 . 6D
Property Owner Name Address
City/State7JP
phone
Earl Edwards OW Cornell Avenue
Fort Collins, CO 80625
493-2633
Applicant Name Address
ply/State ap
phone
Earl Edwards 600 Cornell Avenue
Fort Collins, CO 80525
493-2533
Contractor Address
sty/State ZIP
Phone
DC Shortrldge dba Gary 1314 Webster Avenue
Fort Collins, CO 60524
493-3272
Contractor City of Fir Collins Sales Tax #
Are you paying taxes here or by report?
m Here O Report
aft of rwna bv� az+oarnxx
�` Are you paying with your trust account?
tit Yes D No
3ars4
f
Is this a r'eddendal or mardai project? m Resident
If restdentlal, Is It t" m angle Family oetarhed p Co
Muldfamily (apartment) 13 Ga,
If commercial, Is It: G Bank 13 Bar O Church 0 Ha
G Restaurant O Other (explaln
Is this building SO years of age or more? D Yes G h
If this Is for a demolition pennik, what year was the bu
tl`Pnh f.1974 yew nOl need an astresim asmsmnent 1p
Description of work
G Commercial
ownhome (single family attached) iJ Cfuplex
O Medical office O Office 17 Rttall
11`yn you nmy heed m cnntacr ffLgm r Awn—s ta,
ig constructed?
WC wo Mfg OPP&W=
*If lawn wftler/backflow preventer, must list licensed plumber, If first -films A/C, must list licensed electrician,
Subcontractors: t/et the tvmg3ny name or' of R Cb/Nnli`Iicm� #
8 Creakslde Elachic Plumber MedienloelN te54 Rco1br Ottx
q
I hereby acknowledge that I have read this application and Stet
comply with all requirements contained herein and city ordinerii
permit Is not valid until It has been paid and Issued. I
it
Print e. Shelly Swanson signature li
that the above Information Is Complete and correct I agree to
s and state laws regulating building construction. I know that a
Data