HomeMy WebLinkAbout2809 S College Ave - Applications/Mechanical - 11/08/2018City of Planning, Development, & Transportation Services
Fort 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 Cl 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 # -ACV- iq7 A Date
For office use only
Job Site Address required) Value o(Fonstruction (labor, materials, profit)
Property Owner Name Address C/iityy//Stattee� Zip Phone
l _ _ S. e UJ
Applicant Name Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Dr. 94 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 require dbya#contractors Are you paying with your trust account? ■ Yes ❑ No
MD
Is this a residential or commerdal project? Residential ■ 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 Preservadon
If this is for a demolition permit, what year was the building constructed?
Description of work
*If lawn spdnider/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 #
SectriciariMt � _ plumber 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:App •� � ks
C LrSignature I� Date ��
Revision dale 2162017
r_ Community Development & Neighborhood Services
281 North College Avenue
Fort Collins Fort Collins: CO 80524
970.416.2740
Over the counter permit info sheet for:
New and replacement hvac roof -top eouivment, furnaces, and water
heaters
The following information must be included to approve the permit. Check all 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.
❑ For New equipment. See attached engineered documentation showing roof can
support new equipment or modifications that must be done to support such
equipment.
❑ 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 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.
C Mc1� a
Applicant signs re and d to
(Form updated 1-18-2013)