HomeMy WebLinkAbout6313 Compton Rd - Applications/Furnace - 02/13/2019Planning, Development & Transportation
Fort Collins Fort N. College Ave P.O. Box 580
Collins, CO 4
Phone 970-41616-27402740 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
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
I] Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information On the laication.
Application # \I
For office use only
Incomplete applications will not be accepted.
Date
2/13/2019
Job Site Address (required)
Value of Construction (labor, materials, profit)
6313 COMPTON RD
$4,900.00
Property Owner Name
Address City/State Zip
Phone
LANY SCHUTT
6313 COMPTON RD, FTC CO 80525
970-214-5526
Applicant Name
Address City/State Zip
Phone
Contractor
Address City/State Zip
Phone
NORTHERN COLORADO AIR INC.
812 STOCKTON AVE, FT COLLINS CO 80524
970-223-8873
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
EI Here ❑ Report
Sales tax number is required byall mntractom
Are you paying with your trust account?
0 Yes ❑ No
26862
Is this a residential or commercial project? 0 Residential ❑ Commercial
If residential, is it: El Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes N No Ifyes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
if prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work REPLACE FURNACE 95%
*If lawn sprinkler/bac0ow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license #
Electrician
Mechanical Roofer
Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: KARENA
Print Name: KARENA HUNTWORK Signature HUNTWORK
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Date 2/13/2019