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Home My WebLink About6107 NORMANDY CT - APPLICATIONS - 7/1/2019Fort Collins 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 EI 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 # For office use only Date 7/1 /2018 Sob Site Address (required) Value of Construction (labor, materials, profit) 6107 NORMANDY CT $6,255.00 Property Owner Name Address City/State Zip Phone NICK DAVIS 6107 NORMANDY CT, FTC CO 80525 970-222-4507 Applicant Name Address City/State Zip Phone Contractor Address City/State Zip Phone NORTHERN COLORADO AIR INC. 812 STOCKTON AVE, FT COLLINS CO 80524 970-223-8873 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? O Here ❑ Report sales tax number is required by all contractors. Are you paying with your trust account? IN Yes ❑ No 26862 Is this a residential or commercial project? El Residential ❑ Commercial If residential, is it: O Single Family Detached ❑ Condo/townhome (single family attached) ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Duplex ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building SO years of age or more? ❑ Yes © No Ifyes, you mayneed 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 REPLACE FURNACE *If lawn sprinkler/backflow 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 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: Print Dame: KARENA HUNTWORK Signature KARENA HUNTWORK �w�N,NKo.a. wwauN®KAGifF WN, ws mN mia w n mama arov Date 7/1/2019