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HomeMy WebLinkAbout1933 W Lake St - Applications/Water Heater - 06/08/2016Jun 06 16 08:44a Hahn plumbing 970-493-5325 PA Ci-.;L-.r Of Foet Collins Planning, Development &Transportation 281 N. College Ave P.O. Box 580 Foi . Collins, CO 80524 Phone 970-416-2740 Fa-, 224-6134 OVER-THEmCOUTE PERMM ONLY This application is to be used to apply for the iollowing permits only (check all that apply). 0 Air Condaioning ❑ Demolition (interior non-structural) O Electrical Alteration (not service change) Cl Gas Ughter D Gas tog 13 Heating Unit O lawn Sprinkler 0 Mobile Home replacement D Rooting 13 Sewer Line . Q Photo -voltaic 12 Ventilation ❑ Water Heater ❑ Water line ❑ WecdlPellat Stove (must be EPA certified, provide make. model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application l Date 10 -8 -110 Foromce USA only . Job Site Address (required) Value of Construction (labor, materials, profit) Property Owner- Name Address citylstate Zip Phone Chon Applicant Name Address City/State Zip Phone 44:�r r R _ is 1 Contractor Address Cltyl5tate Zip Phone A 1 P . a .A Contractor City of Ft. Coln S s ► ax lY1 P- / 5 by Are you paying taxes here or by report? ❑ Here 1,` Report Are you paying With your trust accoiirit? Yes L] No Salty Mr numberas regwred all can actors is this a residential or commercial project? eResldentiai 13 Commercial if residential, is It: PJSingle Family Detached ❑ Condo/townhome (single family attached) - - 0 Duplex © Multifamily (apartment) 13 Garage I If commercial, is It: 0 Bank ❑ Bar © Church ❑ Hotel/Motel CI Medical office 1] Office ❑ Retail ❑ Restaurant ❑ Other (explain Is this building 50 years of age or more? ❑ Yes CK o Tyesi you mayneed to contact HistoricPreservafion r" this is for a demolition permit, what year was the building constructed? If prfor to 197f, you will need an asbestos assessment to submit with this application. Description of viork '111F lawn sprinkierlbadctlow preveriter, must list licensed plumber. If first-time Al4 must list licensed electrician. Subcontractors: List MecolapmynameorGryofFtCa111nsJrcawe"r Electrician Plumber Mechanical Rcofzt Other I 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 consnviceon. I know that a permit is not valid until it has been paid and issued. Applicant: --�� Print l'lanie;.,��!l,�',Q tfC��(sr S"sgnatui� .L Date Jun 0616 08:44a Hahn plumbing 970-493-5325 p.2 C %r Of it 11 Community Development & Neighborhood'Services 281 North College Avenue Fort Collins, CO 80524 9770.4162740 over the Q00mr gma h7fo sheer New and realacenFent hVac D22E= nt furnaces, arrd water Area The following information must be included to approve the permit. Check all that apply. 1. Roof -top equipment and furnaces: ❑ Replacement of exfisting equipment. ❑ New/add'rdonai roof -top equipment. o 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. o 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. D 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 1 have approval from Larimer County Health Dept for minimum wafer heater capacity. 3. All equipment/appliances must be installed in compliance with 2009 IMC, !FGC, IPC, and 2011 NEC. n Applicant signature and date (Form updated 1-18;2013)