HomeMy WebLinkAbout612 Griffin Pl - Permits/Air Conditioner - 06/30/2020Owner: BOGAN BRIAN
612 GRIFFIN PL
FORT COLLINS, CO 80521 Phone: 970-216-5407
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: FORT COLLINS HEATING & AIR
208 COMMERCE DR #4
FORT COLLINS, CO 80524
License #: H-1309
Phone: 970-484-4552
Supervisor cert #:
Subcontractor(s) Phone License Number
Electrical: CONDUCT ALL ELECTRIC 970-631-4148 ME-1672
Mechanical: FORT COLLINS HEATING & AIR 970-484-4552 H-1309
Work Description: Install new 2 ton air conditioner.
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: 204 302 300 301
TOTAL FEES PAID AS OF 06/30/20: $154.87 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 #: B2006996
Issued Full: 06/30/2020
Permit Type: Residential Mechanical
Site Address: 612 GRIFFINPL
Job Valuation: $5,586.09 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/30/2020 $154.87
Receipt issued: 06/30/2020 Total Paid to Date: $154.87
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $107.53 $107.53 06/30/2020 $0.00
County Sales/Use Tax 100.217030 $22.34 $22.34 06/30/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/30/2020 $0.00
TOTAL FEES: $154.87 $154.87 $0.00
TOTAL BALANCE DUE AS OF 06/30/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2006996
Issued Full: 06/30/2020
Permit Type: Residential Mechanical
Site Address: 612 GRIFFINPL
Job Valuation: $5,586.09 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
612 Griffin Place
2. Property owner name:
Brian Bogan
3. Property owner address:
Street Address: : 612 Griffin Place
City: : Fort Collins
State: : CO
Zip: : 80521
4. Property owner phone number:
970-216-5407
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
5586.09
8. Type of permit:
Water Heater and HVAC
Please note: each individual appliance requires a separate application and permit.
9. Unit type:
Air Conditioner
10. Is this new install or a replacement install?
New
11. Please provide the the ME number:
ME1672
12. Contractor company name:
Fort Collins Heating and Air Conditioning
13. Contractor company address:
208 Commerce Drive Unit 4
14. Contractor company phone number:
9704844552
B2006996 6/30/2020
15. Contractor company email:
register@fortcollinsheating.com
16. License number:
H1309
17. Additional information if applicable:
Install AC: 2 ton
3. Review
18. 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: Katie Schulthess
Date Signed:
06/23/2020
19. Please include an email address to receive a confirmation and a copy of your answers.
kschulthess@fortcollinsheating.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.