HomeMy WebLinkAbout906 WHALERS WAY - APPLICATIONS - 7/11/2018 (3)city0t
fPlanning, Development, & Transportation Services
ort 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 Afteration' (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 # `6 l b V S S53
For office use only
Date July 11, 2018
Job Site Address (required) Value of Construction (labor, materials, profit)
906 Whalers Way $4,485.00
Property Owner Name Address City/State Zip Phone
James Baro 906 Whalers Way Ft Collins, CO 80525 970.282.1861
Applicant Name Address Clty/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 is required by all contractors. Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or 5ommercial project? TFzesidential ❑ Commercial
If residential, is it: 'T Single 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 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?
Description of work Remove existing furnace and install new similar furnace.
*If lawn sprinkle,/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft CollinsAcense#
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.
! f„
Applicant; lr�-;���� Date
Print Name: Christina Evans Signature t % l 1 - f r t ' July 11, 2018
Roviz aI W to 2612017