HomeMy WebLinkAbout4225 Mcmurry Ave - Applications/Furnace - 03/14/2018Mar 14 2018 02;11PM Gary Hooloy HVAC 9702241106
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orrt Collins
Planning, Development &Transportation
281 N. Collegd Ave P.O. Box 580
Fort Collins, CO 80524 '
Phone 970-416-2740 Fax 224-6134
OVER-THErCOUNTER PERMITS ONLY
This applic0on Is to be used to apply for the following permits only (oheok all that apply). D Air Conditioning
C Demelltion (irtterior non-structural) G Sectrical Alteration (notaervlce change) D Gas Lighter CI Oas Log
m Heating Unft d Lawn Sprinkler D Mobile Home replacement D Roofing O Sewer Une C Photo-voltelo
C VenlAatlon D Water Heater O Water Line G Wood/Pallet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Inf
ormation onapplication. Incomplete application* will not be accepted,
Application # 15 z ( Date 3/14/2018
Pow oVf m tmr o*
Job Site Address (rax* d)
Value of Construction (labor, matrrlals, proms
4226 Mcmurry Ave. 00525
$1601,00
Property Owner Name Address
Qty/state Zip
Phone
Terry Chambers 4113 Clayton Ct
Fort Colllne, CO 80525
222-4744
Applicant Name Address
CltVistow Zip
Phone
Terry Chambers 4113 Clayton Ct
Fort Collins, CO 80525
222.4744
Contractor Address
Gty/State Zip
Phone
DC Shortridge dba Gary Ho 1314 Webster Avenue
Fort Collins, CO 80624
493-3272
Contractor City & FL Collins Saks Tax #►
Are you paying taxes there or by report?
m Here D Report
saga Wr4o"WafflgU#dbyarernx98M
Are you paying with your trust aeeaaft?
M Yes O No
34734
Is this a refddentlal or commercial project? M Residential Q Commercial
If residential, Is to m angle Famly Detached O Condo/townhome (single family attached) C duplex
C Multifamily (apartment) O Garage
If cornrnerdal, Is M D Hank O Bar O Church 0 Hotel/Motel G Medical ott'toe O Cfte C Retell
O Restaurant D Otl>er (explain)
Esthis building 50 years of age or more? D Yes O No !I yet, you rrmaynaed eo c=tacr /fLrm* Avssrwt4bn
If this Is for a damolitlon parm*, what year was the building eonabvccad?
Opr/or to 19a you wX geed an asMsros awevmmt to submk wlCh this app kaLr A
Description of work Replacing fumaos with an 80% efficient 90K BTU gas furnace
*If lawn sprinkler/bacldbw prevenber, must list licensed plumber. If nrst-dme A/C, must Rd licensed electrician.
Subcontractors: Let die owga y name or Ofy ofM f b iw dfcr v n 0
ElectrlWn PWmber M9ltlardO1 r W Roofer Other
I hereby acknowledge that I have read this appfcatlon end state that the above lmb wAlon is complete and correct. I agree to
Comply with eel requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit Is not valid until It bas bon paid and Issued.
Print ame:Dennls Shortrldge
sonature Date