HomeMy WebLinkAbout3307 S College Ave - Applications/Mechanical - 08/01/2017From 9702299983 1.970.229.9983 Tue Dec 12 10:53:20 2017 MST Page 1 of 2
FROM : FAX NO. :
Dec. 12 2017 05:51PM P1/2
Fort Collins
Planning, Development & Transportation
283 N. College Ave P O- Box 580
Fort Collins, CO $0524
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 13 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 # e) \—I ID `IbcJ I Cl
For olnce use only
Job Site Address (requlred)
3307 S COLLEGE AVE #216
Property Owner Name
CRYSTAL GARDENS
Applicant Name
Date 08/01 /2017
Value of Construction (labor, materials, profit)
$7,515.00
Address City/State Zip
2775 IRIS AVE, BOULDER CO 80304
Address City/State Zip
Phone
303-449-0951
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 ft Are you paying taxes here or by report? O Here ❑ Report
5,24m; tax number isrequlredbyadavr2tractvrn Are you paying with your trust account? ® Yes ❑ No
26862 -__
Is this a residential or commercial pio)ect? ❑ Residential 19 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' 10 Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? Ci Yes ® No If yes, you may need to contact Mstonc Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wi// need an asbestos assessment to submit with this dpplicabon.
Description of work REPLACE RTU — I Z �" j
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first time A/C, must list licensed electrician. —
Subcontractors, Gst the company name ur City of R Collins bcrnse
Electridan WIRED EtF.CTRIC 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 frame: KARENA HUNTWORK Signature HUNTWORK pate 08/01/2017
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