HomeMy WebLinkAbout6309 Buchanan Ct - Applications/Furnace - 04/05/20171/4/2%44-20Pb1.-VVFiM FROW TO:19702246134 FROM: ii�h g?7234 T-070 P.VAR72: F-4
Planning, Development & Transportation
aty 1 281 N. College Ave P.O. Box 580
1 [tins 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 nonstructural) 0 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.
Application # b I � o 1.15 0-�
For o/9xe use only
Incomplete applications wil not be accepted.
Date rl t l -7
Sob Sft Address (mquired)
Value of Construction (labor, materials, profit)
6309 Buchanan Ct.
$6,270
Property Owner Name Address
City/State Zip
Phone
Deb Courtner 6309 Buchanan Ct. Fort Collins 80525
833-0056
Applicant Name Address
Fort Collins Heating and Air 208 Cornmerce
City/State Zip
Dr- #4 Fort Colling- CO 80524
Phone
(970) 305-3478
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
SWes W monber is req~ byall wn doom
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential ❑ Commercial
If residential, is it: 0 Single Family Detached ❑ Condo/townhome (single family attached) Cl Duplex
0 Multifamily (apartment) ❑ Garage
If commercial, is it: 0 Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
0 Restaurant 0 Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No if yes, you may need to contact Hislork Pieser✓ad'on
If this is for a demolition permit, what year was the building constructed?
lfptkr to 1975, ynu will need an asbestos a -A ment to Submit with this appl/catlon.
Description of work replace furnace
*If lawn sprinider/baddiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List Me company name or Qy of Ft Collins Nicene 0
Electrician 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 la s regulating building construction. I know that a
permit is not valid until it has been paid and issued. A A
Applicant
(Print (tame: Angela Morrow Signature
'00 Date 3131 A-7