HomeMy WebLinkAbout930 WHALERS WAY - APPLICATIONS - 10/27/2014[,Oct -27 2014 09:21AM Gary_-. Hooley Heat and Air 9702249198
page 2
' City of
F6rt Collins
Planning, Development &Transportation
281 N. College'Ave P.O. Box 580
Fort Collins, CO BOS24
Phone 070-416-2740 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). 0 Air Conditioning
❑ Demolition (interior non-structural) 0 Electrical Alteration (not service change) O Gas Lighter 0 Gas Log
* Heating Unit 0 Lawn Sprinkler 0 Mobile Home replacement ❑ Roofing 0 Sewer Line 0 Photo -voltaic
❑ Ventilation [7 Water Heater O Water Line Cl Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all appllceble Information on the application. Incomplete applications will not be accepted.
Application # f�) I4 9 ®CI 23 Date 10/27/2014 C] Lo `O 2
For office use only
Sob Site Address (requIred)
Value of Construction (labor, materials, profit)
930 Whalers Way
$6.456.00
Property Owner Name Address
City/State Zip • Phone
Jes Foster 930 Whalers Way
Fort Collins, CO 80525 223-5472
Applicant Name Address
City/Stab? Zip Phone
Jes Foster 930 Whalers Way
Fort Collins, CO 80525 223-5472
Contractor Address
City/state Zip Phone
DS Shortridge / Gary Hool2i 1314 Webster Avenue
Fort Collins, CO 80524 493-3272
Contractor City of FL Collins Sales Tax #
Are you paying taxes here or by report? M Here D Report
Sales laznamber&mguiredbyallcionHacinrs.
Are you paying with your trust account? M Yes ❑ No
34734
Is this a residential or commercial project? 0 Residential 0 Commercial
If residential, Is it m Single Family Detached G Condo/townhome (single family attached) 0 Duplex
CI Multifamily (apartment) 0 Garage
If eommerdal, is it B Bank ® Bar Cl Church ® Hotel/Motet 93 Medical office 0 Office ❑ Retail
Restaurant G Other (explain)
Is this building 50 years of age or more? ❑ Yes t3No If yes, you may need to contact Hlstoric Preservation
If this Is for a demolition permit, what year was the building constructed?
Ifprlor to 1975, you w/# need an asbestas assessment to submit with this application.
Description of work L&ALQJwith 2.5 Ton Condensing Unit)
*If lawn sprinkler/baddtow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or CV of Ft Co#ins11twase 0
Sectriclan Plumber Mechanical H-1654 Roofer
1 hereby ackrxmviedge 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: Shell Swanson ng
Print Name: y- Signature OD,f L0�M Date ��