HomeMy WebLinkAbout4436 CRAIG DR - APPLICATIONS - 7/16/2014 (2)Jun 18 2014 05:12PM One Hour Heating & Air 9706634097
3
Planning, Dat elopment & Transportation
281 N. College We P.O. Box 580
Fort Collins, CC 80524
Phone 970416 2740 Fax 224-6134
OVEWTHErCOUNTER PERMITS ONLY
This application is to be used t apply for the following permits only (chec all that apply). ❑ Air Conditioning
❑ Demolition (interior non-struCt ral) El Electrical Alteration (not service Chang ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkl r ❑ Mobile Home replacement ❑ Roofing Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater Water Line ❑ WoodlPellet Stove (must be E A certified, provide make, model and
manufacturer).
Complete all applicable Inform tion an the application. Incomplete appllc Ions will not be accepted.
Application # Date
For ofte use only
Sob Site Address (required)
Value of Construction
(labor, materials, profit)
4436 Craig Drive
�$3 ,
a-UO—
Property Owner Name
Address
Clty/State
ZIP
Phone
Andre Kuzmenko
4436 Craig Drive
Fort Collins, CO80526
970-225-1153
Applicant Name
I Address
City/State
Zip
Phone
One Hour Heating & Air
487 Denver Avenue
Loveland, CO
80537
970-663-4002
Contractor
Address
City/State
ZIP
Phone
One Hour Heating & Air
487 Denver Avenue
Loveland, CO
00537
970-W3-4002
Contractor Oty, of FL Collins Sales
Tax #
Are you paying taxes
re or by report?
® Here ❑ Report
53/esWrnumberlsrequbr'dbya#con
CWM
Are,you paying with yo
ir trust acoount?
® Yes ❑ No
Is this a residential or commercial
If residential, is it: IM Single Fa
❑ Multifamil
1f commercial, Is It: ❑ Bank ❑
❑ Restaurar
Is this building 50 years of age i
If this is for a demolition permit
Ifpdor to 1975, you will need an
roject? ® Residential ❑ Commercial
Ily Detached ❑ CondoADwnhome (single fai
(apartment) ❑ Garage
ar ❑ Church ❑ Hotel/Motel ❑ Medical offs
❑ Other (explain)
more? ❑ Yes ❑ No If yes, you may need
what year was the building constructed?
bestos assessment io submit with this applkab
attached) ❑ Duplex
❑ Office ❑ Retail
rnntactHistoiicPreserratlon '
r
Description of work —Rep
jqce
*If lawn sprinkler/baddtow prevent
Subcontractors: List the company
Electrician Plumbe
; must list licensed plumber. If first-time A/C, must
Name orGty of FtCoNlns Ikense 0
Mechanical Ro
list licensed electrician.
fer Other
1 hereby acknowledge that I have
comply with all requirements cunt
permit is not valid until It has
this application and state that the above li
herein and city ordlnances and state laws
i paid and issued.
is complete and correct. I agree to
building construction. I know that a
Applicant. Stacey Schmidt � 06/18/2014
Print Name: si®nature Date