HomeMy WebLinkAbout6541 S College Ave - Applications/Mechanical - 07/30/2018Fcity of Planning, Development, & Transportation Services
ort 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 # 1J � 000 �k IV Date
For oft a use only
Sob Site Address (required) Value of nstruction (labor, materials, profit)
Owl 31a
Property Crooner Nee Address City/State Zip Phone
1
Applicant dame Address ' City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Dr. #4 Fort Collins, CO 80524 970.484.4552
Contractor Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Dr. #4 Fort Collins, CO 80524 970.484.4552
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ■ Report
sales tax number is required by all contradam Are you paying with your trust account? ■ Yes ❑ No
Is this a residential or commercial project? ❑ Residential ■ Commercial
If residential, Is It: ❑ Single Family Detached ❑ Condo/bownhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, Is it: ❑ Bank ❑ Bar i 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 Pmservatlon
If this is for a demolition permit, what year was the building constructed?
Description of work J
*If lawn sprinkler/baddlow 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 0
Electrician %umber Mechanical H1309 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: ffiqUMJ'Signature Date
Revision date mnoi7
L9- K -
�J
7- 30 -/g
Community Development & Neighborhood Services
281 Norlh College Avenue
Fort Collins Fort Collins, Co 80524 D p
970:416.2740
Qver the counter permit Info sheet for:
New and rev/ecement hvac root -fop epuioment, furnaces, and water
— eaters
The following information must be inducted to approve the permit. Check all that apply.
1. Roof -top equipment and fumaces:
s Replacement of existing equipment.
❑ New/additional roof -top equipment.
e 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.
❑ 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
a 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.
(Form updated 1-16-2013)