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Home My WebLink About509 Ponderosa Dr - Permits/Water Heater - 10/28/2020Owner: PECK THOMAS H (1/2 INT) 4122 VISTA LAKE DR FORT COLLINS, CO 80524 Phone: 970-481-6270 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL 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: Water heater replacement. 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: 300 301 302 TOTAL FEES PAID AS OF 10/28/20: $64.69 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 #: B2012269 Issued Full: 10/28/2020 Permit Type: Residential Water Heater Site Address: 509 PONDEROSA DR Job Valuation: $1,706.83 Category: Residential Signature: Print Name: Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 10/28/2020 $64.69 Receipt issued: 10/28/2020 Total Paid to Date: $64.69 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $32.86 $32.86 10/28/2020 $0.00 County Sales/Use Tax 100.217030 $6.83 $6.83 10/28/2020 $0.00 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 10/28/2020 $0.00 TOTAL FEES: $64.69 $64.69 $0.00 TOTAL BALANCE DUE AS OF 10/28/2020: $0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2012269 Issued Full: 10/28/2020 Permit Type: Residential Water Heater Site Address: 509 PONDEROSA DR Job Valuation: $1,706.83 Category: Residential Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1. Job site address: 509 Ponderosa 2. Property owner name: Tom Peck 3. Property owner address: Street Address: : 4122 Vista Lake City: : Fort Collins State: : Colorado Zip: : 80521 4. Property owner phone number: 970-481-6270 5. Project type: Residential 6. What type of residential? Single Family Detached 7. Value of work (Labor and Materials)($): $1706.83 8. Type of permit: Water Heater and HVAC Please note: each individual lot requires a separate application and permit. Please note: each individual appliance requires a separate application and permit. 9. Unit type: Water Heater 10. Is this new install or a replacement install? Replacement (New unit replacing existing unit) 11. Contractor company name: Fort Collins Heating and Air 12. Contractor company address: 408 Commerce Dr #4 13. Contractor company phone number: 970-484-4552 14. Contractor company email: beth@fortcollinsheating.com 15. License number: MP-982 3. Review 17. 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: 10/28/2020 18. 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.