HomeMy WebLinkAbout1422 N COLLEGE AVE - APPLICATIONS - 4/27/2015Apr 27 15 03:20p V ahn plumbing
970-493-5325 p.1
City of
F6rt Colons
Planningr Development &Transportation
2B1 N. College Ave P.O. Box 580
Fbrt Collins, CO 80524
Phone 970-416-2740 Fax 22+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 Condildon_ing
❑ Oerna ion (interior non-structural) 13 Electrical Alteration (not service change) 13 Gas Ughter ❑ Gas Log
❑ Heating UnIt 0 Lawn Sprinkler •C Mobile Home replacement 0 Rooting ❑ Sewer Line. Q Photovoltaic
❑ Ventilation` l Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA ceRifled, provide make, model and
manufacturer).
Complete all applicable information on the application. IncomAIs Jap)plications wit( not be accepted.
Application # �,�.r'—"Date
For o fce use on/V
Job Site Address (required)
V e of Construction (labor, materials, profit)
ProOwner Flame
p
ddress
City/State ap
142a !
Phone '
Applicant Name
- dress
--A
City/State ; p
Phone
'
n
Contractor J
Address
City/Stabe Zip
Phone
Contractor City of Ft Collins S
s Tax # f)1P- / 5
Are you paying taxes here or by report?
trust
❑ Here gReport
)(Yes 0 No
sales W numberls requorrW bya0 conliactars
Are you paying wrth your accourit?
Is this a residential or commercial project? 0 Residential -A Commercial
If residential, Is It: E3 Single Family Detached 0 Condo/6DWnhome (single family attached) • • 0 Duplex
Multifamily (apartment) ❑ Garage
If commercial, Is It: 13 Bank ❑ Bar ❑ Church 0 Hotel/Motel 0 Medlrat office 13 office ❑Retail
Restaurant ❑ other (explain)
Is this building 50 yea, 'rsof age or more? O Yes ❑ No If yes, you may need 0 mntactff/storicPraserva6on
If this is for a demolition permit, what year was the building constructed?
If,ar/orW 1975, you will need an ashesi as assessment to mbn2ff tw?h thlsap#itatfon.
Description of work
*If lawn sprinklerybaddlow preventer, must list licensed
Subcontractors: List hiemmpenynameor6tyofRt
ier. If ffrst-Ifine A/C, must Ost licensed etechridan. bK
//cease ag
Elec[ridan Plumber mechaNcal Roofer
other
CO
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 knovi that a
permit Is not valid until it has been paid and issued.
Applicant:
Print Nam
Date ���� -- -
Apr 27 15 03:20p Hahn plumbing 970-493-5325 p.2
Fort Collins
Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524
970.416.2740
over the counter OEM.& info sheet far:
New and replacement hyac roof-top-gqu gMent. 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 equipmentlappliances must be installed in compliance with 2009 IMC, IFGC, IPC, and
2011 NEC.
Applicant sig ature and da
(Form updated 1-18-2013)