HomeMy WebLinkAbout2039 Blue Yonder Way - Permits/Gas - Log, Line, Pipe - 10/13/2020Owner: HEUBERGER ADAM L
2039 BLUE YONDER DR
FORT COLLINS, CO 80525-2011 Phone: 608-215-9060
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FORT COLLINS HEATING & AIR
208 Commerce Dr. #4
FORT COLLINS, CO 80524
License #: MP-982
Phone: 970-484-4552
Supervisor cert #:
Subcontractor(s) Phone License Number
Plumbing: FORT COLLINS HEATING & AIR 970-484-4552 MP-982
Work Description: Install new gas line.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 10/13/20: $55.93 Payment method: Trust Account
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2011556
Issued Full: 10/13/2020
Permit Type: Residential Plumbing
Site Address: 2039 BLUE YONDER WAY
Job Valuation: $857.39 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 10/13/2020 $55.93
Receipt issued: 10/13/2020 Total Paid to Date: $55.93
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $36.00 $36.00 10/13/2020 $0.00
City Sales/Use Tax 251.122030 $16.50 $16.50 10/13/2020 $0.00
County Sales/Use Tax 100.217030 $3.43 $3.43 10/13/2020 $0.00
TOTAL FEES: $55.93 $55.93 $0.00
TOTAL BALANCE DUE AS OF 10/13/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2011556
Issued Full: 10/13/2020
Permit Type: Residential Plumbing
Site Address: 2039 BLUE YONDER WAY
Job Valuation: $857.39 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
2039 Blue Yonder
2. Property owner name:
Adam Heuberger
3. Property owner address:
Street Address: : 2039 Blue Yonder
City: : Fort Collins
State: : Colorado
Zip: : 50525
4. Property owner phone number:
608-215-9060
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
$857.39
8. Type of permit:
Plumbing
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
9. Scope of work:
Gas Line - New
10. Master plumber or excavation company name:
Fort Collins Heating and Air
11. Master plumber or excavation company address:
208 Commerce Dr #4
12. Master plumber or excavation company phone number:
970-484-4552
13. Master plumber or excavation company email:
beth@fortcollinsheating.com
B2011556
10/13/2020
14. License number:
MP-982
3. Review
16. 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.
Signature of: Beth Cullum
Date Signed:
10/13/2020
17. Please include an email address to receive a confirmation and a copy of your answers.
beth@fortcollinsheating.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.