HomeMy WebLinkAbout439 HOUGHTON CT - APPLICATIONS - 8/6/2019FCity of Planning, Development & Transportation Services
&t CO has Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 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 nor► -structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Horne replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood(Pellei Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application # e)M O U S (0- Date August 6, 2019
FarOREL- use only
Job Site Address (requited) Value of Constnmction (labor, materials, profit)
439 Houghton Court, Fort Collins, Colorado 80524 $5656.00
Property Owner Name Address (Sty/State Zip Phone
7onathan land 2819 Fieldstone br Fort Collins, CO 80525 720-315-1027
Applicant Name Address City/State Zip Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address City/State zip Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft Collins Sales Tax # Are you paying takes here or by report? ❑Jiere ❑ Report
WeF&wmai7ber1;teVoed iyaffmnfr a- Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or menial project? Residential ❑ Commercial
If residential, is it: V Single Family Detached ❑ Cando/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar O Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 5o years of age or more? ❑ Yes ❑ No Ifyiesy you mayneed to contadth%ta* Presw affw
if this is for a demolition permit, what year was the building constructed?
Description of work R� vd�nq AC and replan with haw ow AC
*If lawn sprinkler/baddiow prtwerhthl, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors. list the mmpanynameoralyofFtCoAns hbmse #
13ectridEn Plumber Medhaz,kal Roofer other
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I hereby adahowledge 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 consbu tion. I know that a
pennk is not valid until it: has been paid and issued. hnm
Print Name: Cfsri2tCrh��v Signature mrs .12)W19
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