HomeMy WebLinkAbout1214 Gaelic Pl - Applications/Air Conditioner - 03/30/2020Cityof�►,�i , Planning, Development & Transporiatjon Services
6 C011liiS Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO WU4 Main: 970.4162740 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). ❑ Air Conditioning
❑ Demolition (interior non-structuraq ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 17 Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water line ❑ Wood/Pellet Stove (must be EPA cerfifed, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #,
Forcfffte car, only
Date March 27, 2020
Sob Site Address (requkad) Value of Construction (labor, materials, profit)
1214 Gaelic Place, Ft Collins, Colorado 80524 $4750.00
Property Owner Name Address Gty/State Zip Phone
Caitlin Chvatal 1214 Gaelic Place Fort Collins, CO 00524 970-402-M6
Applicant Name Address Oty/State zpp Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address Qty/State ziipp Phone
Allen Service 1015 Link lane Ft Co, CO 80524 484-4841
Contracor City of Ft. Collins Sales Taos # Are you paying taxes here or by report? ❑ jjiiere ❑ Report
-Wes &YmmrberIsreg0Wbyan av&jdam Are you paying with your trust account? VYes ❑ No
10010
is this a residential or metcial project? Residential ❑ Commercial
If residential, is it `® Single Family Detached ❑ Condoltownhome (single family attached) ❑ Duplex
❑ Multifamily (aparbnent) ❑ 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 ifyea, you mayneed (o coniad hQ; arie aesarlydbbn
If this is for a demolition permit, what year was the building constructed?
Description of Work R ^ ea reng AC and rgdam with t like AC
*If lawn sprinIder/baddlow preventer, must list licensed plumb. If first-time A/C, must fist licensed electrician.
Subcontractors: list the companyname or offtCaWns lircarje #
eectndan Plumber Mechanical Roofer Other
I hereby admowledge that I have read this application and state that the above information is complete and correct I agree th
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I brow that a
permit is not valid until it has been paid and issued, Applicant: Chr6sUnz Evavva
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Print Na: Signature Date z, JZD
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