HomeMy WebLinkAbout7227 Fort Morgan Dr - Applications/Air Conditioner - 03/11/2020CityoofPlanning, Development & Transportation 1
�t1111����281 N. College Ave P.O. Box 580
F
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). IN 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 ail applicable information on the application. Incomplete applications will not be accepted.
Application # '?J2Wum/ Date 311112020
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
7227 Fort Morgan Dr. Fort Collins, CO 80525
$14273.00 �(
Property Owner Name Address
City/State
Zip
Phone
Richard Fowler 7227 Fort Morgan Dr.
Fort Collins, CO
80525
970-829-9191
Applicant Name Address
City/State
Zip
Phone
Jesse Hoeye 5213 Longs Peak Rd. Unit A
Berthoud, CO
80513
970-532-0123
Contractor Address
City/State
Zip
Phone
IMS Heating and Air 5213 Longs Peak Rd. #A
Berthoud, CO
80513
970-532-0123
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
0 Here ❑ Report
Sales tax number is required by all contractors Are you paying with your trust account?
❑ Yes ® No
Is this a residential or commercial project? El Residential ❑ Commercial
If residential, is it: 17 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 ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Installing replacement AC and Furnace. New furnace is 80% Eff/135K BTU New AC is 17 Seer/4 TON
Electrical: Installing disconnect by AC 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#
Electrician Eggers Electric Plumber Mechanical iMS Heating and no- 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: 2 j/
Print Name: Jesse Hoeye Signatur Date c�La
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