HomeMy WebLinkAbout2126 Owens Ave - Permits/Water Heater - 06/26/2020Owner: TURINA HEATHER
2126 OWENS 103
FORT COLLINS, CO 80528 Phone: 970-215-5525
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 #: 103 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: 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 06/26/20: $82.52 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 #: B2006871
Issued Full: 06/26/2020
Permit Type: Residential Water Heater
Site Address: 2126 OWENS AVE, 103
Job Valuation: $2,473.95 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/26/2020 $82.52
Receipt issued: 06/26/2020 Total Paid to Date: $82.52
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $47.62 $47.62 06/26/2020 $0.00
County Sales/Use Tax 100.217030 $9.90 $9.90 06/26/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/26/2020 $0.00
TOTAL FEES: $82.52 $82.52 $0.00
TOTAL BALANCE DUE AS OF 06/26/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2006871
Issued Full: 06/26/2020
Permit Type: Residential Water Heater
Site Address: 2126 OWENS AVE, 103
Job Valuation: $2,473.95 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
2126 Owens Ave 103
2. Property owner name:
Heather Turina
3. Property owner address:
Street Address: : 2126 Owens Ave 103
City: : Fort Collins
State: : CO
Zip: : 80528
4. Property owner phone number:
9702155525
5. Project type:
Residential
6. What type of residential?
Townhome (attached)
7. Value of work (Labor and Materials)($):
2743.95
8. Type of permit:
Water Heater and HVAC
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
11. Contractor company name:
Fort Collins Heating and Air Conditioning
12. Contractor company address:
208 Commerce Drive Unit 4
13. Contractor company phone number:
9704844552
14. Contractor company email:
register@fortcollinsheating.com
06.26.2020
B2006871
15. License number:
H1309
16. Additional information if applicable:
Replace Water Heater: 40 Gallon
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: Katie Schulthess
Date Signed:
06/26/2020
18. 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.