HomeMy WebLinkAbout2230 Shropshire Ave - Applications/Air Conditioner - 03/08/2018Feb 12 2000 04:13AM HP Fax page 2
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
S; Fort Collins, CO 60524
Phone 970-416-2740 Fax 224-6134
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RrtTHE-COUNTER PERMITS ONLY
This application is 'sed to' apply for the following permits only (check all that apply). 5? Air Conditioning
❑ Demolition (interior n - ctilral) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
10 Heating Unit ❑ L nkldr ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water ter d Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer)
Complete all applicable Information o the application. Incomplete applications will not be accepted.
Application # �`I�o� Date
faro only
Sob Site Address (mqai
wp
Value of Construction (labor, materials, profit)
2230 Shropshire Av
nM
a $121000.00 oilAel
Property Owner Name
Address City/State Zip Phone
John and Daniel A
c
2230 Shropshire Avenue Fort Collins, CO 80526 978-578-5970
Applicant Name
Address Qty/State Zip Phone
One Hour Heating & Air
487 Denver Avenue Loveland, CO 80537 970-292-5769
Contractor
i Address City/State Zip Phone
One Hour Heating & Air
487 Denver Avenue Loveland, CO 80537 97D-292-5769
Contractor City of R. Coll
Sales rax nwnber is raqul ed b
ns
Sales Tax # Are you paying taxes here or by report? D Here ❑ Report
ctnrx Are you paying with your trust account:? l0 Yes ❑ No
Is this a residential or com ' I project? ® Residential ❑ Commercial
If residential, is it: ® Si gl Family Detached ❑ Condo/townhorne (single family attached) ❑ Duplex
❑ M Ib mily (apartment) ❑ Garage
If commercial, Is it: ❑ k i ❑ Blar ❑ Church O Hotel/Motel ❑ Medical office 13 Office ❑ Retail
❑ R rant ❑ Other (explain)
Is this building 50 years a or more? ❑ Yes ❑ No If yes, KW may need to contact Hlsti rkPmservahon
If this Is for a demolition , what year was the budding constructed?
Ifprlar In 1975, you will an aslbestns assessment to submit A#ffi this appYcadon.
Description of work
*If lawn sprinkler/backfiaw
Subcontractors: L&tthe,
Electrician
I hereby acknowledge that I
comply with all requirement;
permit is not valid until N
Applicant: Stacey
Print Name:_ y
x; must list licensed plumber. If first-time A/C, must list licensed electrician.
name or Gty of Ft Collins llmnse 0
Mechanical H-824 Roofer
Other
read this application and state that the above Information Is complete and correct, I agree to
alned herein and city ordinances and state laws regulating building construction. I know that a
been paid and Issued.
Signature
s" s
Date 02/13/2018