HomeMy WebLinkAbout1032 Cunningham Dr - Applications/Air Conditioner - 08/05/2019Clt of Planning, Development & Transportation
Fort Collins For N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-41616-2740 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 applicable information on the application. Incomplete applications will not be accepted.
Application #
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For office use only
Date 7/31/2019
Job Site Address (required)
Value of Construction (labor, materials, profit)
1032 CUNNINGHAM DR #2
$3,190.00
Property Owner Name
Address City/State Zip
Phone
CYNTHIA CORDELL
5233 S XENOPHON CT, LITTLETON CO 80127
Applicant Name
Address City/State Zip
Phone
DRAKE MANOR
2821 REMINGTON ST STE 100, FTC CO 80525
970-493-4052
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?
O Here ❑ Report
Sales tax number is required by allcontractorm
Are you paying with your trust account?❑
Yes ❑ No
26862
Is this a residential or commercial project? El Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached El 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 I7 No If yes, 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.
Description of work REPLACE AC
4`If lawn sprinkleribackflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors' List the company name or City of FP Cellins /ieense #
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: KARENA
Print Name: KARENA HUNTWORK signature HUNTWORK
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�" ® °] Date 7/31 /2019
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