HomeMy WebLinkAbout2144 Mainsail Dr - Applications/Air Conditioner - 01/25/2017Jan 26 2000 12:23AM One Hour Heating & Air 9706634097
page 2
of
Fort Coitin5
Planning, Dev
281 N. College i
Fort Collins, CO
Phone 970-416-
OVER-THE-COUNTER PERM
This application Is to be used to apply for the following permits only (check
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change)
50 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EF
manufacturer).
Complete all applicable Information on the application. Incomplete applical
ApplicationW�Wl?se only
neat & Transportation
P.O. Box 580
Fax 224-6134
ONLY
II that apply). Q Air Conditioning
❑ Gas Lighter ❑ Gas Log
ewer Line ❑ Photo -voltaic
certified, provide make, model and
not be accepted.
lob Site Address (requlmd)
Value of C"sl
ction (labor, materials, profit)
2144 Mainsail Drive
$13,893.00
Property Owner Name Address
City/State
Zip
Phone
Call Moore 2144 Mainsail Drive
Fort Collins, CO
80524
970-218-4736
Applicant Name Address
Clty/State
Zip
Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CO
80537
970-292-5769
Contractor Address
City/State
! Zip
Phone
One Hour Heating & Air 487 Denver Avenue
Loveland, CO
80537
970-292-5769
Contractor City of Ft Collins Sales Tax #
Are you paying taxes hgre
or by report?
M Here ❑ Report
S&Ls rexnumber&imu#ebyaNmntaaars.
Are you paying with your
trust account? KI Yes ❑ No
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, Is It: M Single Family Detached ❑ Condo/townhcme (single farm attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medic office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you mayneed contact HisYnnc Preservation
If this Is for a denrolldon permit, what year was the building constructed?
If pivr to 1975, you coil/ need an asbestw a meet to submit Kith th/s appJ
Description of work Replace furnac AC and evaporative coil
i
*If lawn sprinlder/backflow preventer, must list licensed plumber. If first-time A/C, must Ist licensed electrician.
Subcontractors: Wt the company name or Crly of Ft Collins lkerrse #
Electrician Plumber Mechanical H-824 R#w Other
I hereby acknowledge that I have read this application and state that the above Informati is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulat building construction. I know that a
permit Is not valid until it has been paid and Issued.
Applicant: Stacey Schmidt 01/24/2017
Print Name: Signature Data