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Home My WebLink About4432 S COLLEGE AVE - APPLICATIONS - 6/12/2018 (6)City of Fort Collins �.- Planning, Development & Transportation 281 N College Ave P O Box 580 �� 10 Fort Collins, CO 80524 70 Phone 970-416-2740 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) V'Air Conditioning J9 I -�!'q ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log 'Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic v�g ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified provide make model and manufacturer) /�j Complete all applira �e,lnfor ion on the �� 13t7 Inc Rm� leapplications anrill not be accepted Application # 81J ?Oq_38(f IgO�vB - ,, Date " ► �� For office use only l go Job Site Address (required) Value of Construction (labor, materials, profit) Property Owner Name Address City/State Zip Phone M a�p LA LI Co S-T * -1 ko R - v— Lo $->ouvsaa Applicant Name Address City/State Zip Phone oon al O UI SLIO Contractor o p� " Address City/State Zip t 1 -3 JClz l� Phone ` Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report Sales tax number Is required by all contractors Are you paying with your trust account? ❑ Yes 0 O �3'1 "ko3 ❑ No Is this a residential or commercial project? ❑ Residential RS 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 WNo If yes, you may need to contact Histonc Preservation If this is for a demolition permit, what year was the building constructed? If pnor to 1975, you wrll need an asbestos assessment to submit with this application Description of work [ %%G;= . c=o c_��— 2��c.c� _rn�.-� . of C`T�ZTJ�S *If lawn sprinkler/backflow preventer, must list licensed plumber If first-time A/C, must list license electrician Subcontractors List the company name or Gty of Ft Collins license # Electrician Plumber. Mechanical 3Lk y - " 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 1�04&4 Signature Date _(0/[11 16 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 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 ,K 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 6 /11 / [,!?-, Appli,,Wsignature and date (Form updated 1-18-2013)