HomeMy WebLinkAbout6213 Southridge Greens Blvd - Permits/Water Heater - 11/04/2020Owner: MAYHEW JENNIFER J/DAVID J
6213 SOUTHRIDGE GREENS BLVD
FORT COLLINS, CO 80525-9133 Phone: 970-290-7987
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: KAHAR PLUMBING & HEATING, INC.
6772 N. Franklin Ave.
Loveland, CO 80538
License #: MP-981
Phone: 970-461-2412
Supervisor cert #:
Subcontractor(s) Phone License Number
Plumbing: KAHAR PLUMBING & HEATING, 970-461-2412 MP-981
Work Description: Replace water heater - 50 gallon with pan.
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 11/04/20: $59.36 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 ownerorowner'sagent,authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociatedwithsuchwork. I understand that suchpermitmaybe
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the workauthorizedbysuchpermitisnotcommenced,
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 #: B2012449
Issued Full: 11/04/2020
Permit Type: Residential Water Heater
Site Address: 6213 SOUTHRIDGE GREENS BLVD
Job Valuation: $1,478.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 11/04/2020 $59.36
Receipt issued: 11/04/2020 Total Paid to Date: $59.36
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $28.45 $28.45 11/04/2020 $0.00
County Sales/Use Tax 100.217030 $5.91 $5.91 11/04/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 11/04/2020 $0.00
TOTAL FEES: $59.36 $59.36 $0.00
TOTAL BALANCE DUE AS OF 11/04/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2012449
Issued Full: 11/04/2020
Permit Type: Residential Water Heater
Site Address: 6213 SOUTHRIDGE GREENS BLVD
Job Valuation: $1,478.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
6213 Southridge Greens Boulevard
2. Property owner name:
David Mayhew
3. Property owner address:
Street Address: : 6213 Southridge Greens Boulevard
City: : Fort Collins
State: : CO
Zip: : 80525
4. Property owner phone number:
970-290-7987
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
1478.00
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:
Kahar Plumbing & Heating, Inc.
12. Contractor company address:
6772 N FRANKLIN AVE
13. Contractor company phone number:
9704612412
14. Contractor company email:
kaharplumbing@hotmail.com
15. License number:
MP-981
16. Additional information if applicable:
Install 50 gallon water heater with pan.
Thank-you! - Michelle
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: Jeff Gallagher
Date Signed:
11/04/2020
18. Please include an email address to receive a confirmation and a copy of your answers.
kaharplumbing@hotmail.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.