HomeMy WebLinkAbout607 FOXTAIL ST - APPLICATIONS - 4/6/2015Apr 06 2015 10:20AM Gary Hooley Heat and Air 9702249198
page 2
Fort Collins
/1*1
Planning, Development & Tranitportattion
281 N. Coilege'Ave P.O. Box 580
Fort Collins, CO SOS24
Phone 970-416-2740 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). M Air Conditioning
❑ Demolition (Interior non-structural) O Electrical Alteration (not service change) D Gas Lighter ❑ Gas Log
III Heating Unit ❑ Lawn Sprinkler O Mobile Home replacement ❑ Roofing O Sewer Line ❑ Photo -voltaic
G Ventilation ❑ Water Beater ❑ 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 # )� Z Z lU O
For office use only
Date 4/6/2015
Sob Site Address (rer7Wred)
Value of Construction (labor, materials, profit)
607 Foxtail Street
$5,503.00
Property Owner Name Address
City/State Zip
Phone
Kent Fuller 607 Foxtail Street
Fort Collins, CO 80524
482-2513
Applicant Name Address
city/State ZIP
Phone
Kent Fuller 607 Foxtail Street
Fort Collins, CO 80524
482-2513
Contractor Address
City/State Zip
Phone
DS Shortridge/ Gary Hooili 1314 Webster Avenue
Fort Collins, CO 80524
493-3272
Contractor City of FL Collins Sales Tax #
Are you paying taxes here or by report?
0 Here ❑ Report
sales tax number is required by ofconfractum
Are you paying with your trust account?
M Yes O No
34734
Is this a residential or commercial project? G Residential O Commercial
If residential, Is It; 0 Single Family Detached C Condo/tnwnhome (single family attached) 0 Duplex
C Multifamily (apartment) 0 Garage
If commercial, is It: 13 Bank U Bar 13 Church ❑ Hotel/Motel O Medical office C office G Retail
O Restaurant O Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you ffmy need to contact Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
If prior to 1975, you wI#need an asbestos assessment to submit with this appl/catron.
Description of work Replace furnace and A/C unft
*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 Col#ns/icense 0
Eectrlcian Plumber Mechanicall+1654 Roofer Other
I hereby acknowledge that I have read this application anc state that the above informatlon 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 untii"it has been paid and Issued.
Applicant Shell Swanson
Print Name: Shelly Signature