HomeMy WebLinkAbout508 DUKE LN - APPLICATIONS - 3/18/2014City of Planning, Development &Transportatlon:
281 N. Coll6ge'Ave P.O. Box 580,
F6rt Collins Fort Collins, CO 80524
Phone 976-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be i used to apply for the following permits on ' ly (check all that apply). U Air donditioning
0 Demolition (interior non-structural) DElectrical Alteration (not service change) 0 Gas Lighter 13 Gas Log
ED Heating Unit D.Lawn Sprinkler 0 Mobile Home replacement C3 Roofing 0 Sewer Line 13 Photo -voltaic
0 Ventilation 0 Water Heater 0 Water Line 0 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 Date 3/18/20,14
For office use only
Job Site Address (required)
Vohppof`4Cons ru n (labor, materials, profit)
508 Duke Lane
61,927.60
Property Owner Name Address
ter, zip Phone
Andrea Martin 508 Duke Lane
Fort Col lins,..CO 80525 2314072
Applicant Name . . . Address
City/State Zip Phone
Andrea Martin 508 Duke Lane
Fort Collins, CO 80525 231-4072
Contractor Address
City/State Zip Phone
Gary Hooley Heating & Air 1314 Webster Avenue
Fort Collin s, CO 90524 493-3272
Contractor City of Ft Collins Sales Tax -#
Are you paying taxes here or by report? eHere eport
SWes tax numbar is reqL&rd by a# conbodors.
Are you paying with your trust account? M Yes
34734
.Is this a residential or commercial project? M Residential U Commercial
If residential, is it: 0 Single Family Detached 12 Condo/townhome (single family attached} 13 Duplex
0 Multifamily (apartment) C1 Garage
If commercial, Is it: 13 Bank Cl Bar C3 Church El Hotel/Motel C3 Medical office C1 Office C3 Retail
E3 Restaurant C3 Other (explain)
Is this building 50 years of age or more? OYes ONo If yes, you may need to contact Historic Phesenw . Non
If this Is for a demolition permit, what year was the building constructed?
Ypnor to 1975, yvu need an asbestos. assessment to submit with thIs applIcablon.
Description of work Replace furnace
*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 sV
Electrician Creekside Plumber �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:
Print Name. Shelly Swanson Signature N) ,3 �OnA\,A te Da
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