HomeMy WebLinkAbout2701 Stover St - Applications/Furnace - 08/16/2018Cityof Planning, Development & Transportation
F6} 281 N. College Ave P.O. Box 580
rt Collins 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). O Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
O 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 on the application. Incomplete applications will not be accepted.
Application # eo 1 -2b&6)-�� f Date 8/16/2018
For ohSce use only rk 4-'.-�
Job Site Address (required)
Value of Construction (labor, materials, profit)
2701 Stover St. Unit -Al
$ 6046.00
Property Owner Name Address
City/State Zip
Phone .
Seth & Crystal Magle 2701 Stover St. Unit -Al
Fort Collins, CO 80525
493-3272
Applicant Name Address
City/State Zip
Phone
Seth & Crystal Magle 2701 Stover St. Unit -Al
Fort Collins, CO 80525
493-3272
Contractor Address
City/State Zip
Phone
DC Shortridge dba Gary Hij 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
17 Here ❑ Report
Sales tax number is required by allconfractors.
Are you paying with your trust account?
M Yes ❑ No
34734
Is this a residential or commercial project? M Residential Q Commercial
If residential, is it: ❑ Single Family Detached' 8 Condo/townhome (single family attached) 9 Duplex
❑ Multifamily (apartment) ID Garage
If commercial, is it: ❑ Bank 8 Bar ❑ Church 8 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ 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 w111 need an asbestos assessment to submit with this application.
Description of work Replacing furnace with an 80% efficient 90K BTU gas furnace. Replacing AC with a 2.5-ton 13SEER unit
*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 #
Eectrician
Mechanical H-1654 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 Dennis Shortridge = ^�- ---
Print Name: Signature Dennis Shortridge -- Date 8/16/2018