HomeMy WebLinkAbout1025 Elm St - Permits/Water Heater - 01/15/2021Owner: ZAPANTA JOHN CARL SANDICO
1025 ELM ST
FORT COLLINS, CO 80521 Phone: 602-326-2265
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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: SQUEAKS SERVICES
7230 Gilpin St. Suite 190
Denver, CO 80229
License #: MP-955
Phone: 303-280-5765
Supervisor cert #:
Subcontractor(s) Phone License Number
Plumbing: SQUEAKS SERVICES 303-280-5765 MP-955
Work Description: Replace water heater.
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 01/15/21: $110.34 Payment method: Credit Card 0758
** 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 #: B2100356
Issued Full: 01/15/2021
Permit Type: Residential Water Heater
Site Address: 1025 ELM ST
Job Valuation: $1,950.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 0758 01/15/2021 $110.34
Receipt issued: 01/15/2021 Total Paid to Date: $110.34
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $37.54 $37.54 01/15/2021 $0.00
County Sales/Use Tax 100.217030 $7.80 $7.80 01/15/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 01/15/2021 $0.00
TOTAL FEES: $110.34 $110.34 $0.00
TOTAL BALANCE DUE AS OF 01/15/2021: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2100356
Issued Full: 01/15/2021
Permit Type: Residential Water Heater
Site Address: 1025 ELM ST
Job Valuation: $1,950.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
1025 elm st
2. Property owner name:
john Zapanta
3. Property owner address:
Street Address: : 1025 Elm st
City: : ft Collins
State: : Co
Zip: : 80521
4. Property owner phone number:
6023262265
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
1950.00
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:
Squeaks Services
12. Contractor company address:
7230 Gilpin way 190
13. Contractor company phone number:
720-938-0002
14. Contractor company email:
larry@squeaksservices.com
15. License number:
mp955
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: larry benavidez
Date Signed:
01/15/2021
18. Please include an email address to receive a confirmation and a copy of your answers.
larry@squeaksservices.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.