HomeMy WebLinkAbout507 Cowan St - Applications/Furnace - 02/14/2017 (2)From 9702299983 1.970.229.9983 Tue Feb 14 15:25:42 2017 MST Page 1 of 1
FROM FAX NO. Feb. 14 2016 10:19PM P1/1
FCity of Planning, Development & Transportation
Qr"t Collins 281 N. College Ave P.O. Box 580
`r Fort Collins, CO 80524
Phone 970-416-2740 Fax 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-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter O Gas Log
W Heating Unit ❑ Lawn Sprinkler 17 Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ 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.
k
Application # I �J�'J4 Date 02/14/2017
For 011`ice use only
Site Address (requ/ipd)
50 Value of Construction (labor, materials, profit)
7 COWAN ST $1,320,00
Property Owner Name Address City/State
Zip Phone
APPAREL IMAGING 507 COWAN ST, FORT COLLINS CO 80524 970-484 6606
Applicant Name Address
City/State Zip Phone
Contractor Address City/State Zip
NORTHERN COLORADO AIR INC. 812 STOCKTON AVE, FT COLLINS CO 80524 Phone
970-223-8873
Contractor City of Ft. Collins Sales Tax # Are you Paying taxes here or report? .
.sales tax number& required pyall [»Mrxtors Are o p Y 9 Y❑Here ❑Report
26862 — ^ you paying with your trust account? 2 Yes Q No
Is this a residential or commercial project? ❑ Residential O Commercial
If residential, is It: ❑ Single Family Detached ❑ Condo/townhome (single family attached
❑ Multifamily (apartment) ❑ Garage ) ❑Duplex
If commercial, is it: ❑ Bank 0 Bar ❑ church ❑ Hotel/Motet ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant L7 Other (explain) SHOP _
Is this building 50 years of age or more? Oyes ®No If s ye , you may need to contact Hlstonc preservation
If this is for a demolition Permit, what year was the building constructed? Ifprlor to 1975, you will need an asbestos assessment to subm/t with [his application.
Description of work
*If lawn sprinkler/backfiow preventer, must list licensed plumber, If first-time A/c, must list licensed electrician. — Subcontractors: list the company name or City offt Coll/ns %rcrnse
Electrician Plumber---- Medianical_._ Ronfer__
—` 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: KARENA HUNTW HARENA a ..;..r..n
RI.IhYi
K Signature _UNTWORK .-: a m ;^r�„�� paw 02/14/2017.