HomeMy WebLinkAbout906 WHALERS WAY - APPLICATIONS - 7/11/2018,,.Forityof Planning, Development, & Transportation Services
rt Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
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 accepted.
Application # g1cod5S34 Date July 11, 2018
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
906 Whalers Way $1,945.00
Property Owner Name Address City/State Zip Phone
James Baro 906 Whalers Way Ft Collins, CO 80525 970.282.1861
Applicant Name Address City/State Zip Phone
Christina Evans 101 S Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State Zip Phone
Allen Service 101 S Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft. Collins Sales Tax ## Are you paying taxes here or by report? ❑ jiere ❑ Report
Sales tax number isrequrrrtdbyall contractors. Are you paying with your trust account? IWYes ❑ No
10010
Is this a residential or mmercial project? Residential ❑ Commercial
If residential, is it: or
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 (explain)
Is this building 50 years of age or morel ❑ Yes ❑ No If yes, you may need to contact Historic Preservation
If this is fora demolition permit, what year was the building constructed?
Description of work Remove existing water heater and install new similar water heater.
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the companyname or City offf Collins license #
Electrician Plumber Mechanical 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.
Applicant: U rf �7r} :. t �' t l!
Print Name: CIIrISllna Evans Signature �✓I ( i. Date July 11, 2018
rwws on date 2or417