HomeMy WebLinkAbout801 Bonita Ave - Applications/Mechanical - 03/20/2019 (2)City of Planning, Development, & Transportation Services
Flirt Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
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 m 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.
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Application # �l D I �Pc�a' l l t Date 312on9 Cj DI LP�I -min 1 aaaa
For office use only �I�� SD) I
lob Site Address (required) Value of Construction (labor, materials, profit)
801 Bonita Ave $12,120.34
Property Owner Name Address City/State Zip Phone
Thomas Dunn 801 Bonita Ave Ft Collins CO 80526 7135946945
Applicant Name Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Dr, Unit 4 Ft Collins CO 80524 9704844552
Contractor Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce or, Unit Ft Collins CO 80524 9704844552
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here la Report
Sales tax number is required by all contractors Are you paying with your trust account? ® Yes ❑ No
31906
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: 0 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 2 No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Replace Existing Furnace, Evaporative Coil, Condenser & Water Heater. Add Ductless Mini Split System to Garage
*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 H1309 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: Amanda Elder Signature Amanda Elder Date 3/20n9
Revision date 2162017