HomeMy WebLinkAbout2954 Garrett Dr - Applications/Air Conditioner - 08/24/2017Fort 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). X 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 on the application. Incomplete applications will not be accepted.
Application # I � 0 5 ! / Date 08/24/2017
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2954 Gannett Drive
$5,234.00
Property Owner Name Address
City/State Zip Phone
Joe Mathis-Lilley 2954 Garrett Dr. Fort Collins, CO 80526 970-988-3782
Applicant Name Address
City/State Zip Phone
Joe Mathis-Lilley 2954 Garrett Dr. Fort Collins CO 80526 970-988-3782
Contractor Address
City/State Zip Phone
Air Comfort, Inc 150 Rome
Court Fort Collins, CO 80524 970-490-1458
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? XJ Here ❑ Report
sales tax number is required by all contractors.
Are you paying with your trust account? 99 Yes ❑ No
31791
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: ® 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 IR No Ifyes, you may need 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
A/C Add on installation
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician,
Subcontractors: List the company name or Lfty of Ft Collins license #
Electrician Coleman Plumber Mechanical H1321 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 Nicole Miller
Date 08/24/2017