HomeMy WebLinkAbout2124 Thunderstone Ct - Applications/Air Conditioner - 09/11/2019City of Planning, Development, & Transportation Services
Fort Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Cotliris, CO 80524 Main: 970.4162740 Fax: 970224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). O Air Conditioning
❑ Demolition (mterior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stave (must be EPA certified. provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # b 1_` l o S o L4 pate September 11, 2019
frorof mizeoniy
Job Site Address (required) Value of Construction (labor, materials, profit)
2124 Thunderstone Court, Fort Collins, Colorado 60525 $6405.00
Property Owner Name Address City/Slate 71p Phone
Heather Pendleton -Helm 2124 Thunderstorle Ct Ft Collins= 80525 970-214-6867
Applicant Name Address City/State Zpp Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/Slate Tipp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report? ❑Mere ❑ Report
sales tarrnanbert &rind byallmnbar8m Are you paying with your bust account? VYes ❑ No
10010
Is this a residential or 9j�xxnnmetcial project? Residential ❑ Commercial
If residential, is it "iM Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (aparbnent) ❑ Garage
If commercial, is it 13 Bank ❑ Bar ❑ Church ❑ Hot llmotei ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes O No Yyet }emu mayneed to cmtacti&taiPc Presmrrdkon
If this is for a demolition permit, what year was the building constructed?
Description of work Pr moths irg AC and reply with like ner AC
*If lawn sprinkler/baddtow preventer, must list licensed plumber. Iff first-time A/C, must fist licensed electrician.
Subcontractors: W the mrwnyname or GtyofftfoNwh'certse #
HeWidan Plumber Medrariicdf 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 bulidmg construction. I know that a
permit is not valid until it has been paid and issued. T� in /� j
Print Name: ChrfstulwEvan� Signature 1. YIA .'tl, Date �Y
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