Loading...
HomeMy WebLinkAbout1422 N COLLEGE AVE - APPLICATIONS - 9/2/2014 (6)Planning, Development & Transportation city of 2.81 N. College Ave P.O. BOY 580 Fort Cthns Fort Collins, CO80524 Phone 970-416-27402740 Fax 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 G7 Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line 0 Photo -voltaic O Ventilation ❑ Water Heater © Water Line ❑ Wbod/PelleE Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted, Application #�S140-10171 ° Date Av- c7mm Lae 01)iY ]08 Si AddresMOW111 J Value of constructio la m -als, profit) 01 Pro ty Owner Name Address CityJ�Syta�tet �7yy�Zi-p-�Jne ell Applicanres t Name , Adds City/State Zi ph' Contractor. /' Address Clty/State Zip ,/ Pho�n/e C�1�� /�'. Tex,/ Contractor City Of Ft: Collins. Sales Tax # Are•you paying taxes here or by report? ❑ Here 11 Report selwtaznumb ' Wed. by'allwntrac(=- Are you paying with your trust account?, CI Yes ❑ No Is this a residential o1multiramily mercial project? esldential �Commerdal If residential, is It: qle Family Detache ❑ Condo/townhome (single family attached) C7 Duplex (apartment) ❑ Garage If commercial,'is it: ❑ Bank ❑ Bar ❑ Church ❑ Hofei/Motel ❑ Medical office ❑ Office El Retill 12testauranit Other (explain) Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may Reed to contact IY!StOHC PMserv0600 If this is for a 4larriolition permit, what year was the building constructed? � IJ°,brior to 19%5; yob wni Reed on asbestos essess✓71e7t to sbbMit Ivit>2 this a,pllcdtibn- Description of work I; non *If lawn sprfrikler/backflaw peeventer, must list licensed pitlmber. If first-time A/C, must list licensed electrician, Subcontractors: List t'be corr7panY Rome ar. City of R CollinS ftens194,'' ElWrlclan PlumberMedianlcal�/ �0 Hoofer Other I hereby acknowledge that I have read this application and state that the above infonnation is complete and correct. I agree to comply with all raqulrements' contained herein and city ordinances and state laws regulating building construction. I know that a perneit is not yvalW until, it has been paid and issued.' _ Applicant; Print Name' 1 `-"' " �' � `�! ! $Ignatu , '�. � �_ Date city of Community Development &Neighborhood Services 281 North College Avenue Fort Collins Fort Collins, co sosza � �� 9-q 970.416.2740 Over the counter permit info sheet for; 11%wand 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: 1547 Replacement of e)asting 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 Latimer County Health Dept for minimum water heater capacity. tar 2 3. All equipment/appliances must be installed in compliance with 2899-IMC, IFGC, IPC, and Apopp -andMdate (Form updated 1-18-2013)