HomeMy WebLinkAbout1531 W Swallow Rd - Applications/Air Conditioner - 06/30/2015Jun 30 15 02:32p Hahn plumbing
970-493-5325 p.1
City of
Fort Cothns
Planning, Development&Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-4:L -2740 Fax 22+6134
OVER -TIDE -COUNTER (PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply)`Air Conditioning
El Demolition (interior non-structural) O Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
AHeating Unit ❑ Lawn Sprinkler ❑ Mobile home replacement ❑ Roofing Q Sewer Una _ ❑ Photo -voltaic
❑ Ventlation ❑ dater Heater 0 Water Line 0 Wood/Pallet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. incomplete applications will not be accepted
BI506090 -
Application # B18050T
For orirce use only
Date b -3 d -/ �
Job Site Address (requited)
Value of Construction (tabor, materials, profit)
S/0
1531 t-0 �-S
erty Owner dame
Pz0r(�7�0/1
Address
City/state Zip
Phone '
Applicant Name
Address
City/State Zip
Phone
Contractor
Address
City/State Tip
Phone
Contractor City of Ft. Collins S Tax 4 ll'tP- 15"
byap
Are you paying taxes here or by report? O Here ,[Report
Are you paying with your trust account? g yes ❑ No
Sales tar numberls required confvorom
1 (/3
Ts this a residential or commercial project? �OResentlal ❑ Commercial
If residential, Is lt: 17 Single Family Detached Condo/townhome (single family attached) • ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: M Bank ❑ Bar ❑ Church ❑ Hotel/Motel 0 Medical office ❑ Office a Retall
0 Restaurant ❑ other (explain)
is this building 5o years of age or more? ❑ Yes ❑ No Ifyes, you may need to contc&HlstorlcPreservabbn
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, yvu will need an asbestos assessment to submit with this app/icatlon.
*if lawn sprinkler/backilow preventer, must list licensed plumber. If first-time AIC, must list licensed electrician.
Subcontractors: List the company name or ("fly ofRCollinsllcen5e #
Electrician 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:
Print Nam,
lb -31) -/ 5
Jun 30 15 02:32p Hahn plumbing 970-493-5325 p.2
Cif-Y. a",
ForCollins
111k �
Community Development & Neighborhood Services
281 !North College Avenue
Fort Collins, CO 80524
97D.416.2740
Over the counter nermit info sheet for:
New and ren/a0ME-en t hvac roof -top eq &Ment furnaces and water
heaters
The following information must be included to approve the permit. Check ail that apply.
1. Roof -top equipment and furnaces:
Replacement of existing equipment.
❑ New/additional roof -top equipment.
❑ Equipment 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.
Cl For New equipment. See attached engineered documentation showing roof can
support new equipment or modifications that must be done to support such
equipment.
o Ground or floor mounted.
2. Hot Water Heater:
❑ Replacement
❑ New
❑ Same size or smaller than previous.
❑ Larger than previous water heater.
❑ If for a restaurant I have approval from Latimer County Health Dept for minimum
water heater capacity.
3. All equipment/appliances must be installed in compliance with 2009 IMC, IFGCr IPCr and
2011 NEC.
__S
Applicant signature an ate
(Form updated 1-18-2013)