HomeMy WebLinkAbout930 WHALERS WAY - APPLICATIONS - 10/27/2014 (2)Oct 27 2014 0921AM Gary Hooley Heat and Air 9702249198
page 2
Fort Collins
Planning, Development &Transportation
281 N. College' Ave P.O. Box 580
Fort Collins, CO 80524
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). iII Air Conditioning
G Demolition (interior non-structural) O Electrical Alteration (not service change) O Gas Lighter O Gas Log
IS Heating Unit Cl Lawn Sprinkler G Mobile Home replacement ❑ Roofing Cl Sewer Line ❑ Photo -voltaic
❑ Ventilation Ci Water Heater IM Water Line ❑ 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 # B 0 `i 109 2 Date 10/2712014 9 Lo . CC) 2-
For alike = only
Sob Site Address (required)
Value of Construction (labor, materials, profs)
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/Stag ZIP
Phone
Jes Foster 930 Whalers Way
Fort Collins, CO 80525
223-5472
Contractor Address
City/state Zip
Phone
DS Shortridge I Gary Hoolik 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of FL Collins Sales Tax #
Are you paying taxes here or by report?
O Here G Report
Safes tax nawbera requ/redhyallcbntrddnrs.
Are you paying with your trust account?
M Yes ❑ No
34734
Is this a residential or commercial project? IM Residential G Commercial
If residential, is it m single Family Detached 0 Condo/townhome (single family attached) 8 Duplex
G Multifamily (apartment) ❑ Garage
If commercial, is it: B Bank ® Bar G Church 0 Hotel/Motel G Medical office G Office G Retail
0 Restaurant 13 Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No rf yes, you may need to contact Historic PmservaWn
If this Is for a demolition permit, what year was the building constructed?
ffprlor to 1975, you wI#need an asbesYas a mssment to submIt with this app#cab`on.
Description of work Replace Furnace & j
lawn sprinlder/badcttow preventer, must list licensed plumber. If first-time AJC, must list licensed electrician,
Subcontractors: UstMecompany name orCVofFiCo#inslicawe#
Bectriclan Plum tlPr Medranlcal H-1654 Roofer
Other
I hereby acknowledge that I have read this application and state that the above infiormatlon 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 gg (�,
Print ,,,:.Shelly Signature DQfAP e/U �G pate _101/Zlja