HomeMy WebLinkAbout3307 S College Ave - Applications/Mechanical - 12/08/2017From 9702299983 1.970.229.9983 Fri Dec 8 16:06:20 2017 MST Page 1 of 2
FROM : FAX NO.
Dec. 08 2017 11:04PM P1i2
Fort 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
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater O 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 # e V,Tilb` CK0
For office use only
Date 12/08/2017
Job Site Address (requlred) Value of Construction (labor, materials, profit)
3307 S COLLEGE AVE #110 $8,140.00
Property Owner Name Address City/State Zip Phone
CRYSTAL GARDENS 2775 IRIS AVE, BOULDER CO 80304 303-449-0951
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? a Here ❑ Report
Sales MYnumbrrcarWulfedbyat/ (ontraciom Are you paying with your trust account? ® Yes ❑ No
26862
Is this a residential or commercial project? ❑ Residential EJ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
CI Multifamily (apartment) ❑ Garage
If commercial, Is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant 17 Other (explain) RUwI MASSAGE: (NAME OF OUSINESS)
Is this building 50 years of age or more? 0 Yes 0 No Ifyes, you may need to contactHislioHc Preservation
If this is for a demolition permit, what year was the building constructed? _
If prior to 1975, Wu will need an asbestos assessment to submit with this application.
Description of work
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or Oty of Ft Coll/ns bcense #
Electrician WIRED ELECTRIC 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: KARENA+-
Print Name. KARENA HUNTWORK_ signature IILINTWORK o. _pie 12/08/2017