HomeMy WebLinkAbout2927 Stonehaven St - Applications/Furnace - 02/08/2018�clty}oi Planning, Development, & Transportation Services
,f "' • � Community Development & Neighborhood Services
281 Nam college Avenue
Fat Collins, CO 80524 Main: 970-418.2740 Fax; 970.224.0134
OVER-THE-COUNTER PERMITS ONLY
This app6tion is to be used to apply for the following permits only (check all that apply). 0 Air Conditioning
13 Demolition (interior non-st uctural) O Electrical Alteration (not service change) a Gas Lighter a Gas Log
■ Heating Unit 0 Lawn Sprinkler O Mobile Home replacement 0 Roofing 0 Sewer Une 0 Photo-voltalc
13 Ventilation 0 Water Heater 0 Water Une 0 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information onthe application. Incomplete applications will not be accepted.
Appllcation # t I &D Y/ Date %� d9
FcraAke hue a►h
Job Sibs Address (madmd) Value of Construction (labor, materials, profit)
ilk
Property owner Name Address
�`�
Q ".OV\T& 1P Phone
Apptlant Name Address aty/State Zip Phone
Fort Collin Heating & Air 208 Commerce Dr. #4 Fort Collins, CO 80524 970.484.4552
Contractor Address City/state Zip Phone
Fort Collins Heating A Air 208 Commerce Dr. #4 Fort Collins, CO 80524 970.484.4552
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 0 Here ■ Report
Sam 1B" tmat &m7uhdbya9a>Imeoars</jJt/] N O Are you ping with Wur trust amount? ■ Yes 0 No
Is this a residential or commercial project? �0► Residential I] Commercial
If residential, Is it: ■ Single Fen* Detached O Condo/towniome (single family attached) ❑ Duplex
0 MuNamlly (apartment) 17 Garage
If Commercial, Is R: O Bank O Bar 17 Church 17 Hobel/Mobel O Medial office 0 0Mca O Retail
13 Restaurant 0 Other (explain)
Is this building 5o yem of ape or more? O Yes D No IfI t * you may need tic contact His Pre5"ffan
If this is for a demolition permit, what year was the building constructed?
Description of work Ur
*If fawn sprinkler1W9Mow preventer, must Bst Umnsed plumber. If first-time A/Cr must list Ikensed elacmdan.
5uboontradoro: List MeeompanynameoralyofRComslicense #
mber. m H1309 Roarer Other
I hereby admOwWdge that I have read this apOlalton and state that the above Information Is complete and correct. I agree to
canPIV with all requirements contained herein and city ordinances and state laws regulating building construdton. I knew that a
Permit is not valid until R has been paid and Issued.
Appiicaft C
Print Name. rlA Signature pate
RmAYmr WY zS=7