HomeMy WebLinkAbout114 S College Ave - Applications/Mechanical - 09/11/2019City 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). 0 Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
0 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 # Ar't/�' I Date 8/6,19
For office use only PA
Al I 5 I OSQ
Job Site Address (required) Value of Construction (labor, materials, profit)
114 S. College Ave. 13,528.63
Property Owner Name Address City/State Zip Phone
Ed Siegel 255 Hill Streey Solana Beach, CA 92075 8587550316
Applicant Name Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Drive #4 Fort Collins,CO 80524 9704844552
Contractor Address City/State Zip Phone
Fort Collins Heating & Air 208 Commerce Drive #4 Fort Collins,CO 80524 9704844552
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here 0 Report
sales tax number is required by all contractors Are you paying with your trust account? 0 Yes ❑ No
31906
Is this a residential or commercial project? ❑ Residential 0 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 0 Other (explain) Ice cream/Chocolate Shop
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, you mayneed to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Replace (1) RTU
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the companyname or City of Ft Collins license #
Electrician Conduct All Electric Plumber Mechanical H1309 Roofer Other Streamline Cranes
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: Amanda Elder Signature Amanda Elder Date 8/6/19
Revision date 2/62017
Cit Of Community Development&
y p Neighborhood Services
F�r"t CO�II n� 281 N College Ave. P.O. Box 580
/`�"�_ Fort Collins, CO 80524
Phone: 970.416,2740 Fax: 970.2Z4.6134
www,fcgov.com
Over the counter permit information sheet for:
New and replacement HVAC roof-top equipment, 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.
6� 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.
d 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 heafer capacity.
3, All equipment/appliances must be installed in compliance with 2012 IMC, IFGC, IPC,
and 2014 NEC.
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Applicant signature and date ���I, � Permit number