HomeMy WebLinkAbout3407 Stover St - Applications/Furnace - 06/25/2018of
Fort Collins
Planning, Development & Transportation
281 N College Ave P 0 Box 580
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 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
onthe
application Incomplete applications will not be accepted
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Application # 6 1 O 0 Date 06/25/2018
For office use only
Job Site Address (required)
Value of Construction (labor materials profit)
3407 STOVER ST #G712
$2,465 00
Property Owner Name
Address City/State Zip
Phone
MICHELLE RIESEL
3407 STOVER ST #G712 FTC CO 80525
970-412-5958
Applicant Name
Address City/State Zip
Phone
Contractor
Address City/State Zip
Phone
NORTHERN COLORADO AIR INC
812 STOCKTON AVE FT COLLINS CO 80524
970-223-8873
Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report?
❑ Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account?
0 Yes ❑ No
26862
Is this a residential or commercial project? ❑ Residential ❑ Commercial
If residential is it ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial is it ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 0 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 will need an asbestos assessment to submit with this application
Description of work REPLACE FURNACE 80%
*If lawn sprinkler/backflow preventer must list licensed plumber If first time A/C must list licensed electrician
Subcontractors List the company name or City of Ft Collins bcense #
Electrician 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
ApplicantKARENA
" "
Print Name KARENA HUNTWORK Signature HUNTWORK , - p" �"� Date 06/25/2018