HomeMy WebLinkAbout4700 INNOVATION DR - APPLICATIONS - 7/2/2019City 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). ❑ Air Conditioning
❑ 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
❑ 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 # `) �60 `T �� � Date �� q"') - / q
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
4700 Innovation Drive 11,548.79
Property Owner Name Address City/State Zip Phone
Petdine 4700 Innovation Drive Fot caollins,CO 80525 9706126331
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? ® Yes ❑ No
31906
Is this a residential or commercial 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 0 Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, 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 company name or City of Ft Collins license #
Electrician Conduct All Electric Plumber Mechanical H130 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 Amand Elder Date 06/28/19
Revision date 2/62017
Fort Collins
Community Development &
Neighborhood Services
281 N College Ave. P.O. Box 560
Fort Collins, CO 80524
Phone: 970.416.2740 Fax:970.224.6134
www,fcgov.com
Over the counter permit information sheet for:
New and reQlacement HVAC roof -too 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.
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 2012 IMC, IFGC, IPC,
and 2014 NEC.
-► fZ�iGl
Applicant signature and date
Permit number