HomeMy WebLinkAbout2212 SUNLEAF CT - APPLICATIONS - 2/4/201502/04/2015 10:14 9704612413 KAHAR PAGE 02
Planning;•Developnient & Transportatlan
rcity 0f 281 N. College Ave . P.O. Dox 580
r �6rt CCtt-Irl Fort Collins, 16 805
Phone 971>•4Ifr27a0 Fax 2246134
OVERMTHE-COUNTER PERMITS ONLY
This application Is td be used to apply for the following permits only (check all that apply). L3 Air Conditioning.
CF Demolition (interlor non•structuial) ❑ Electrical Altaralion (not service change) 0 Chas Lighter 0 Gas LOP
17 Heating Unit 0 Lawn Sprinkler ❑ Mobile Home replacement A Rooting ❑ Sewer Line ❑ Photo -voltaic
rj Ventilation 17 Water Heater 13 Water Line 0 Wood/Pellet Stove (must be EPA codifled, provide make, model and
manufacturer). .
Complete all applicable information an the application. incomplete applications will not be accepted.
Application # I dy Q CL pate 2-4-1 5
For ofce use only
3ob•Slte Address (required) Value of Constructlon.(labor, materials, profit)
2212 Sunleaf Court.. 251.38
Property Owner Name Address City/State Zip Phone
Brad & Deb Abbott 2212 Sunleaf Court 970-817-4407
ollins. , phone
Applicant Name Address aty/`ate zip 970-
Keith A. Gallagher 6712 N. Franklin Avenue -Loveland CO 80538 461-2412
Contractor Uc # KP-37 Address any/State Zip Phone 970-
6772 N. Franklin Avenue, 461-2412
Kahar Plumbino -& Reating, Inc.
Contractor City of Ft. Collins Sales Tax # 18874 Aie you paying taxes here or by report? ❑ Here W Report
galas taxrwmberlsrequwwbyaGmniracx M Are you paying with your trust account? M Yes 0 No
Is this a residential or commercial prq)ea.7 ill Residential 13 Commercial
If residential, Is It: Cl Single Family Detached 13 Condo/townhome (single family attached) ❑ Duplex
0 Multifamily (apartment) 0 Garage,
If commercial, is it: ❑ Bank Gl Sac M Church 0Hotel/Motel 13 Medical office M office13Retail
C1 Restaurant , D other (explain)
Is this building so years of age or more? 0 Yes 0 No Rfya4. youmaygmdio contactH/stnncPi,n,,adon
if this is for a demolition permit, what year was the building constructed?
ffprlar In 197, you wffneed an asfirsiusa rent m submit WO this appllcab'on.
Description of work Gas range
*If lawn sprinkler/baddiow preventer, must list licensed plumber, if first time A/C, must list licensed electrician.
Subcontractors: List the ciompanyriameorOWOMCol/lnsMWOif
Eledrldan Plumber madwlcal� 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 eft ordinances and state laws regulating building construction. I know that a
permit is not valid until ik has been paid g'ed Issued. /17
Applicant: > r S
Print Name: Signatu Date Y I