HomeMy WebLinkAbout1018 Centre Ave - Applications/Mechanical - 04/23/2015From:
05/14/2015 11:16 #218 P.001/001
4F\�
4, 'ems
CI of � Planning, Development & Transportation
�' City,
^ �•r� .. 281 N. College Ave P.O. Box 580
�01 ` Cottm `�eyt'. � Fort Collins, CO 80524
��� Phone 970-416-2740 Fax 224-6134
OVER-THE-COU ER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). IXAir Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter [I Gas Log
V] W-1 #;no 11nk M Lo.0 CpAnklor M Mobile Homo ropl000m on! G rlee9n0 M Q.+. , Line O
u ventilation u water neater u 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 # 815 0 3-7 C
For office use only
Date 4/23/15
Job Site Address (required)
Value of Construction (labor, materials, profit)
1018 CENTRE AVE
17,000.00
Property Owner Name
Address City/State Zip
Phone
VINTAGE CORPORATION
Applicant Name
Address City/State Zip
Phone
iMS HEATING & AIR,INC.
5213 LONGS PEAK RD UNIT A 80513
970-532-01
Contractor
Address City/State Zip
Phone
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report? X Here
❑ Report
Sales fax number Isreoulmdbyall conbactois.
Are you paying with yniur trust account? ❑ Yes
XI No
Is this a residential or commercial project? IN Residential ❑ Commercial
Ir I=10 alual, Is It.: ❑ single ramify oetacned ❑ rondo/townnome (single tamay 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 Ifyes, you mayneed to contactHztoric Preservation
If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, you wr//need an asbestos assessment to submit with this application.
Description of work INSTALL (3) 5 TON AC'S. (3) 120K BTU
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or City of Ft Collins license #
Electrician Plumber Mechanical IMS 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: GENNA DAY Signature
4/23/15
Cttyof Community Development & Neighborhood Services
281 North College Avenue
F6r`} Collins Fort Collins, CO 80524
970.416.2740
over the counter permit info sheet for;
New and rep®acement h vac roof-toQ equipment furnace. and water
heaters
The following information must be included to approve the permit. Check all that apply.
1. Root equipment and furnaces:
Replacement of existing equipment.
❑ New/additional roof -top equipment.
,!kXEquipment is the same weight or lighter and similar or smaller size/footprint.
❑ Equipment is heavier and will provide engineered documentation showing roof can
support new equipment or modifications that must be done to support such
equipment.
Replacement equipment is in the same location and not taller than previous.
❑ Replacement equipment is In new location and/or taller.
❑ For New equipment. See attached engineered documentation showing roof can
support new equipment or modifications that must be done to support such
uipment.
Ground or Floor mounted.
2. Hot ater Heater:
❑ Replacement
❑ New
❑ Same size or smaller than previous.
❑ Larger than previous water heater.
❑ If for a restaurant I have approval from Larimer County Health Dept for minimum
water heater capacity.
3. All equipment/appliances must be installed in compliance with 2009 IMC, IFGC, IPC, and
2011 NEC.
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(Form updated 1-18-2013)