HomeMy WebLinkAbout2518 Eastwood Dr - Applications/Furnace - 03/07/2018",J�Ort Collins
Planning, Developrnent ale 1
281 N. College Avre P,O, Box
Fort Collins, CD $0524
Phone 970-416-2740 Fax 22,
OVER-THE-COUNTER PERMITS ONL
This appiloatlon Is to be used to apply for the following permits only (ohsokall that apply).
O Demolition (interior non-structural) 10 Eleabical Alteration (not service change) O Gas Lighter
W Heating Unit O Lawn Sprinkler O Mobile Home replacement 0 Roofing O Bower Line C
Q VentUtIon O Water Heater O Water Line Q Wood/Pallet Stove (must be EPA owNed, provl
rnanufas�urer7.
Complete all applicable Information on the apolloatlon, Inoornplete applloadons will not be
Appilca#lon # S ( e�� 14 5q
Far otRar M &'
Date 2/28/201 a
3/ .y
Air Conditioning
3 Gas Log
make, model and
sob Site Address (r>a40"
Value of Consbudlon (labor, raftlels,
proftk)
2615 Eastwood Dr.
$2580.00
Property Owner Name Address
city/State zip
Phone
Melanie Ortiz 2518 Eastwood Dr.
Fort ColUns, CO 80625
6-2900
Applicant Name Address
C1ty/Stka Zip
Phone
Melanie Ortiz 2618 Eastwood Dr,
Fort Collins, CO 60525
6-2900
Contractor Address
C!N/seat" Zip
Phone
DC Shortridge dba Gary Hoi 1314 Webster Avenue
Fort Collins, CO 80524
93-3272
Contractor City of Pt. Collins SaW Tax >#
Are you paying tam here or by report?
Here 0 Report;
So* ArxrrrMa0ara; rva~dyatcffl&4 s.
Are you paying with your trust aemunt?
Yes O No
34734
Is this a residential or commercial project? W Residential 0 Commercial
V residential, Is It m Single Family Oet&dW O Condo/townhome (single family alt dwd) 0 1 5uplex
C Muftnmlty (apartment) 0 Garage
If commardal, Is It: 12 Bank IG Bar CI Church 0 Hotal/Mobal O Medical office 12 Off e 0 Rat oil
0 Restaurant O Other (explain)
Is this building a0 years of ado or more? O Yes D No 1f yt98 yaw miavneasd 1b contdcr Hlsfrltc
N this Is fbr a demoildon penmk, what year was the budding construdad?
A'prW to J074 )am m WAY need an asb&M aunt as surbnAt ► M t1W appJketb%
peScrlptipn Of Work Replacing fUmoce An an 60% efficient 138K B?U pas furnace
*If lawn spit1der/beeMow pnwenter, must list IlamsW plumber, If first-time A/C, must list licensed
Subcmdracbors: L& oho cnmpwny na m arOfy off' Ana &&ve 0
WwWdan Plumber I Mechanical H-186 - Rochr
I heMby admimledge that I bovse Head ft application and state that the above Information Is complete and
cwnply with all requirements contalned hwon and cRy wdirsences and state taws regulating buldino amstru
permit Is not valid until It Ws been paid and Issued.
a
: Dennis Shortddge Data
Other
t. I agree to
I knew that a