HomeMy WebLinkAbout425 W Prospect Rd - Applications/Mechanical - 05/22/2013Cityof Planning, Development & Transportation
Fr281 N. College Ave P.O. Box 580
or t Collins 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
❑ 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 ontheapplication. Incomplete applications will not be accepted.
Application # 00V �� l Date 5/22/13
For ofte use only 35r DD
Job Site Address (required)
Value of Construction (labor, materials, profit)
Hilton 425 W. Prospect
Road; Fort C011ins, CO 80526 970-4494-2957
Property Owner Name Address
City/State Zip 9 7 0 PM 2 9 5 7
John Q. Hammons Hotels Management, LLC 425 W Prospect Rd. FC, CO 80526
Applicant Name Address
City/State Zip Phone
FryCo Systems, Inc. PO BOX 218
Fort Collins, CO 80521 970-472-9958
Contractor Address
City/State Zip Phone
FryCo Systems, Inc. PO BOX 218
Fort C011ins, CO 80521 970-472-9958
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ❑ Here ® Report
Sales tax number is required by all contractors:
Are you paying with your trust account? ❑ Yes ® No
36169
Is this a residential or commercial project? ❑ Residential I@ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church 10 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 19 No If yes, you may need to contactHistoric Preservation
If this is for a demolition permit, what year was the building constructed?
Ifpnor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Replace 4 existing exhaust fans and 4 existing direct gas
fired make-up air units with same size units. D ,
'TA s74 if 4 &r c
*If lawn sprinkler/back low preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. 5 _ 2, Q _ 1
Subcontractors: List the company name or City of Ft Collins license 41 D
Electrician Plumber Mechanical H-1280 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 Name: Shane Fry Signature Date
5/23/13