HomeMy WebLinkAbout3341 Sunningdale Pl - Applications/Furnace - 02/14/2017:1131JVJ73-201TO1G: &PS;UM_ TO:19702246134
FROM:710�464E35d34 T-666 PP.M/004 F-157
Fort` Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 22+6134
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
❑ Heating Unit O Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
O Ventilation ❑ Water Heater ❑ Water Line 17 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 #_ (b I /omc+
for o>riae acre on/y
Date A .14-17
]ob Site Address (
ivied)
Value of Construction (labor, materials, profit)
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Property r N
Address City/Stat Zip Phone
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Applicant Name
Address City/State Zip Phone
5
Contractor
Address City/State Zip phone
Fort Collins Heating
and Air 208
Commerce Dr, #4 Fort Collins CO 80524 970 484-4552
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report? ❑ Here ❑ Report
saAesmrrmimaw&raquiedbya#wlwacrors
Are you paying with your trust account? ❑ Yes O No
Is this a residential or commercial project? 9IResidential O Commercial
If residential, is t: aSingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
O Mufdfamily (apartment) ❑ Garage
If commercial, is it: O Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office 13 Retail
❑ Restaurant O Other (explain)
Is this building 50 years of age or more? M Yes ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit;, what year was the building constructed?
Ifpdor to 1975, you will need an asbestos assessment to submit Wth this application.
Description of worts
*If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the cnrspany name or City of ft Collins lkiense ,#
Electrikon 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.
Appikartt:
Print Name: An ela Morrow Signature
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