HomeMy WebLinkAbout331 SUNDANCE CIR - APPLICATIONS - 5/10/2018Fort Collins
Planning, Development & Transportation
281 N College Ave P 0 Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
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This application is to be used to apply for the following permits only (check all that apply) O Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
O Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 0 Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line D Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer) Ir
Complete all applicable information on the application Incomplete applications will not be accepted
Application # �J� J Date 5/10/2018
For office use only
lob Site Address (required)
Value of Construction (labor, materials, profit)
331 Sundance Cir Unit-B
$4588 00
Property Owner Name Address
City/State Zip
Phone
331 Sundance LLC 1000 Driftwood Dr STE A
Fort Collins CO 80525
226-5600
Applicant Name Address
City/State Zip
Phone
Evergreen Property Mgmt 1000 Driftwood Dr STE A
Fort Collins CO 80525
226-5600
Contractor Address
City/State Zip
Phone
DC Shortridge dba Gary Hoi 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 ❑ Report
Sales tax number is required by a# contractors
Are you paying with your trust account?
M Yes ❑ No
34734
Is this a residential or commercial project? 0 Residential ❑ Commercial
If residential, is it ❑ Single Family Detached 01rCondo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) O'�Garage
If commercial, is it ❑ Bank ❑ Bar ❑ Church ®'Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or morel ❑ Yes O No If yes, you may need to contact Htstornc Preservation
If this is for a demolition permit, what year was thel budding constructed?
If poor to 1975, you will need an asbestos assessment to submit with th/s application
Description of work Replace existing heat puma with a 2 5ton condensing unit
*If lawn spnnkler/backflow preventer, must list licensed plumber If first-time A/C, must list licensed electncian
Subcontractors Ust the company name or City of Ft Collins license #
Electrician Plumber 'Mechanical H 1654 Roofer Other
1 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
pint Name Dennis Shortrldge
Signature .� -- � �' Date // l / /K