HomeMy WebLinkAbout508 HANNA ST - APPLICATIONS - 11/26/2015Nov 24 2015 10:19AM One Hour Heating & Air 9706634097
page 8
Fort Collins
Planning, Development r& Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
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). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
® Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line Cl 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 # A3 (509q 11 Date
For oltice use only
Sob Site Address (required)
Value of Construction (labor, materials, profit)
508 Hanna Street
$6,085.00
Property Owner Name Address
City/State Zip
Phone
Flor Galan Amaro 508 Hanna Street
Fort Collins, CO 80521
970-449-2515
Applicant Name 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 & Alr 487 Denver Avenue
Loveland, CO 80537
970-663-4002
Contractor Gty of Ft Collins Sales Tax #
Are you paying taxes here or by report?
® Here ❑ Report
Saks tar number is required bya#wnbactom
Are you paying with your trust account? ® Yes ❑ No
Is this a residential or commercial project? 60 Residential ❑ Commercial
If residential, is it: ® Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hobel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years ofi age or more? I] Yes O No If yes, you may need to contact Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
Ifprior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Replace furnace
*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 Collins Awnse 4
Electrician Plumber Mechanical H-824 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 city ordinances and state laws regulating building construction. I know that a
permit is not valid until It has been paid and issued. A,�Q'' r,
Applicant: Stacey Schmidt sz ""7' Sd"c* 11 24 2014
Print Name: Signature Date