HomeMy WebLinkAbout2332 Sweetwater Creek Dr - Applications/Air Conditioner - 07/25/2018Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. 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). El 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 appl ble i formatiop`on the application
Application # '�f /►w\f
For office use only
Incomplete applications will not be accepted.
Date
07/25/2018
lob Site Address (required)
Value of Construction (labor, materials, profit)
2332 SWEETWATER DR
$7,242.50
Property Owner Name
Address City/State Zip
Phone
BERT NOEL
2332 SWEETWATER CREEK, FTC CO 80528
970-225-6014
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?
S Here ❑ Report
Sales tax number is required by all contractors.
Are you paying with your trust account?
❑O Yes ❑ No
26862
Is this a residential
If residential, is it:
If commercial, is it:
❑ Restaurant ❑ other (explain)
Is this building 5o years of age or more? ❑ Yes N No Ifyes, you mayneed 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.
❑ Duplex
or commercial project? 0 Residential ❑ Commercial
O Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office
Description of work REPLACE AC
❑ Retail
*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 license #
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.
Applicant:
Print Name: KARENA HUNTWORK signature
Date 07/25/2018