HomeMy WebLinkAbout2906 Garrett Dr - Applications/Mechanical - 07/06/2016From: 07/06/2016 11:06 #558 P.001/001
City of
Fort Collins
16R351
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 0 Gas Log
• Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 0 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 # 9 0 0S a 1 3 Date a7/q6
For office use only
]ob Site Address (required)
Value of Construction (labor, materials, profit)
2906 Garrett Dr, FC 80525
3995.00
Property Owner Name Address
City/State Zip
Phone
Larry Gr7mm 2906 Garrett Dr Fort Collins, CO 80526
970-686-0221
Applicant Name Address
City/State Zip
Phone
Contractor Address
City/State Zip
Phone
IMS Heating and Air 5213 Longs Peak Rd, Unit A Berthoud, CO 80513
970-532-0123
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
.Si fee tax mimb r & rMiArP!/ by a// ll7ntrRlYnlS.
Art. yoi i paying with yot it- trl ist arr.ni vit?
n Yes n No
I3 this a rcaidcntial or commercial project? IR Re3idential ❑ Commcrciol
If residential, is it: ® Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
O Multifamily (apartment) ❑ Garage
If cut inijai dol, is K. C] Donh ❑ Doi ❑ CliuiLli ❑ liutcl/Mulcl 0 MeiJiwl of La ❑ Orlit.t: ❑ Rtaoll
C] Restaurant 13-Ottier (explain)
Ts this hijilding 50 years of age nr mnre? n Yes ❑ No If yes you may neeri to contact Historic Presentation
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.
DubLliNliuil ur wuik Add Mistubishl Sit unit- -I.5 ton.
*If lawn oprinklar/backflow proventor, mutt list licensed plumber. If fir,t time A/C, muat lint licenocd electrician.
Subcontractors: list the company name or City of Ft Collins license #
Electrician Eggers Eledrieumber Mechanical Roofer
Other
T hprPhy arknnwlprl(p that T havp rparl this appliratinn and data that the ahnvp infnrmatinn is rnmnlata and rnrrnrt T aorpa 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: ��Ja rin if, Qdall� Lqj Signature ��cia, p a n�. Date "1n " i to