HomeMy WebLinkAbout1018 Ogden Ct - Applications/Air Conditioner - 12/23/2019City of Planning, Development, & Transportation Services
Flirt Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). 0 Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
® Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation 0 Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #
For otiice use only / C 0r1
Date 12/17/19 q,)
9-7 -7
Job Site Address (required) Value of Construction (labor, materials, profit)
1018 Ogden Court 12698.92
Property Owner Name Address City/State Zip Phone
Lamia Goual 1018 Ogden Court Fort Collins, CO 80526 3072754025
Applicant Name Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Drive #4 Fort Collins,CO 80524 9704844552
Contractor Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Drive #4 Fort Collins,CO 80524 9704844552
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here B Report
sales tax number is required by all contractors Are you paying with your trust account? 0 Yes ❑ No
31906
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: 0 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 ❑ No If yes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Replace a/c
Replace Furnace
Replace Water heater
*If lawn sprinkler/backflow 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 Plumber Mechanical H1309 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:
Print Name: Amanda Elder Signature Amanda Elder Date 12/17/19
Revision date 2/612017