HomeMy WebLinkAbout2601 Bar Harbor Dr - Applications/Air Conditioner - 03/14/2017From:
03/14/2017 07:36 0540 P.002/003
City of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
�.F6r `} Collins 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). MCMir 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 ❑ 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 # 61'101 3 -1 g Date 31 {n
For office use only
Is this a residential or commercial project? 4Qtesidential ❑ Commercial
If residential, is it: Ingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
Multifamily (apartment) ❑ Garage
If commercial, Is It: ❑ Bank ❑ ear ❑ Church ❑ Hotel/Motel ❑ Medical office 13 Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may need to contact Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
If prior to 1975, you W// need an asbiesim assessment to submit with this applicaCon.
Description of work
Al ,aw„ oyfmNeyoaavlow prevenrer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Co//ins lrcense t
Electrician" l\1c _ Plumber Mechanical 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: n\Signature ��e i�wDate 3 ��