HomeMy WebLinkAbout1606 N College Ave - Applications/Furnace - 11/24/2017Nov 22 2000 08:02AM HP Fax
page 5
This application Is to be
❑ Demolition (intenor non
kl Heating Unit ❑ Lawn
❑ Ventilation ❑ Water HE
manufacturer).
Complete all applicable
Application # 1
Faroli` e i
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, Co 80524
Phone 970-416-2740 Fax 224-6134
I -THE -COUNTER PERMITS ONLY
to apply for the following permits only (check all that apply). ❑ Air Conditioning
tural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
der ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
on the application. Incomplete applications will not be accepted.
im
Date
Sob Site Address <rMut
Value of Construction (labor, materials, profit)
1601 N College Avenue #
79
$3,515.00
Property Owner Name
Address
City/State Zip
Phone
Terry Doyle
! 1601 N College Avenue #279 Fort Collins, CO 80524
970-416-6370
Applicant Name
Address
City/State Zip
Phone
One Hour Heating & Air
1 487 Denver Avenue
Loveland, CO 80537
970-292-5769
Contractor
Address
City/State Zip
Phone
One Hour Heating & Air
1
487 Denver Avenue
Loveland, CO 80537
970-292-5769
Contractor City of Ft. Collin
Sales Tax #
Are you paying taxes here or by report?
10 Here ❑ Report
SafesbrM=OerisMquimwbyall,
mntraclwm
Are you paying with your trust account?
M Yes ❑ No
Is this a residential or com ial project? ® Residential ❑ Commercial
If residential, is it: ® Singl Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multi mily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office 0 Office ❑ Retail
❑ Re rant ❑ Other (explain)
Is this building 50 years of a or morel ❑ Yes ❑ No Ifyes; you may nod to contact H/stCWC Preservation
If this is for a demolition t, what year was the budding constructed?
Irprror to 1975, you W11 n an asbes£os assessment to submit with thus app/dcat/on.
Description of work
*If lawn sprinkler/baddlow
Subcontractors: List the i
Eleceidan
r, must list licensed plumber. If first-time A/C, must list licensed electrician.
name or City ofR Co//insikrnse o
Medwniml H-824 Roofer
Other
I hereby acknowledge that I ha read this application and state that the above information is complete and correct I agree to
comply with all requirements co Ined herein and city ordinances and state laws regulating building construction. I know that a
Permit Is not valid until it h s been paid and Issued.
i
Applicant* Stacey 5chmi Stacey sc�rM-4
Print Name:_ Signature Date 11 21 2017