HomeMy WebLinkAbout2401 Research Blvd - Applications/Mechanical - 03/23/2018 (10)City of Planning, Development, & Transportation Services
Flirt Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
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 on the application. Incomplete applications will not be accepted.
Application # IIJ2,2 Date _3-22-18 -4 Z$ ll S
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
2401 Research Blvd $ 51,000.00
Property Owner Name Address City/State Zip Phone
CSURF 2537 Research Blvd Fort Collins, CO 80526 970-491-3654
Applicant Name Address City/State Zip Phone
Air Comfort, Inc 150 Rome Ct Fort Collins, CO 80524 970-490-1458
Contractor Address City/State Zip Phone
Air Comfort, Inc. 150 Runic Court Fort Collins, CO 80524 970-490-1458
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? M Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account? N Yes ❑ No
31791
Is this a residential or commercial project? ❑ Residential ❑x 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 ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work : Replace 11 RTU's - Same capacity; same size
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license #
Electrician Hanna Plumber Mechanical 1-1-1321/1641-H 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: T Print Name: —Pat Torok Signature _ Date _3-22-2018
Revision dale 2/6/2017