HomeMy WebLinkAbout908 PINNACLE PL - APPLICATIONS - 4/6/2016MAR-31-2016 07:04AM FROM -
9704848954 T-754 P.002/003 F-908
poi t of
Planning, Development & 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 ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be
b,,e accepted.
Application # \ I 01 Date `T ` t �Y
For ofAee use only
lob Site Address (rMuired)
Value of Construction (labor, materials, profit)
RDA Pinnozle, P1
$Lit Flo
Property Owner Name
Address
Ci /sta a zip
Phone
M&r- A
inmde
PL l' E 'A &5z5
727-56I
Applicant Name
Pott Collins ]Heating and Air 208-Commerce
Address
Dr.
City/State Zip
#4 Vort Collins, Co 80524 �270)
Phone
305-3478
Contractor
Address
City/state Zip
Phone
Port Collins Heating and Air 208 Commerce Dr. #4 Fort Collins CO 80524 970
484-4552
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ❑ Here
❑ Report
Sa/eStar numbteicstgv#Wbyall aontramm
Are you paying with your trust account? ❑ Yes
❑ No
Is this a residential or commercial project? 4WResidential ❑ Commercial
If residential, is it: kSingle Family Detached, ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explaln)
Is this building 50 years of age or more? ❑ Yes. ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Yprior to 1975, you will need an asbestos assessment In submit with this application.
Description of work
*If lawn sprinkler/backnow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust Me company name or City of Ft Collins 11cense #
Mectridan Plumber Mechanical H1309 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.
1 ,rump Angela Morrow Signature r CC4,111 Data