Loading...
HomeMy WebLinkAbout908 PINNACLE PL - APPLICATIONS - 4/6/2016 (2)MAR-31-2016 07:05AM FROM- 9704848354 T-754 P.003/003 F-908 ort Coilins Planning, Development & Transportation 281 N. College Ave P.O. Box $80 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 Q 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 accepted. Application # (U 01 q Date Q ip For offlce use onty Job Site Address (repulMd) Value of Construction (labor, materials, profit) q0? PivinarV P1 8 601 I Property Owner Name Address City/State Zip Phone Marc el 08 i n acl e 1� Y .v . ' S 0525 z27 - 561 Applicant Name Address City/State Zip Phone Fort Collins Heiting and Air 708 Commerce Dr. 44 Fort -colling. CO 80524 (97W 305-3478 Contractor Address City/State Zip Phone Fort Collins Heating and Air 208 Commerce Dr. #4 Fort Collins CO 8 524 970 4 4-4552 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report Sa�wtar number ISrggrdredbyall contr&to m Are you paying with your trust account? ❑ Yes ❑ No Is this a residential or commercial project? VrResidential ❑ Commercial If residential, is It: ' *Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If Commercial, is It: ❑ Bank Ij Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office M Retail ❑ Restaurant ❑ Other (explain) 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? If prior to 1975, you will need an, asbestos assessment to submit with this application. Description of work 4Aij in! ft l i I *If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Ft Collins license Electrician 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. AA Rriift NamQ An(*ela orrow Slg'nature Dace 31.