HomeMy WebLinkAbout1320 S Bryan Ave - Permits/Furnace - 01/29/2021Owner: KUBIECIK DAVID/DAWN M
7400 GREENSTONE TRL
FORT COLLINS, CO 80525 Phone: 970-931-9878
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: BALANCE POINT HEATING & A/C
5854 LOCKHEED AVE
LOVELAND, CO 80538
License #: H-2064
Phone: 970-484-4440
Supervisor cert #:
Subcontractor(s) Phone License Number
Mechanical: BALANCE POINT HEATING & A/ 970-484-4440 H-2064
Work Description: Replace furnace.
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 07/01/20: $99.82 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 #: B2007021
Issued Full: 07/01/2020
Permit Type: Residential Mechanical
Site Address: 1320 S BRYAN AVE
Job Valuation: $3,218.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 07/01/2020 $99.82
Receipt issued: 07/01/2020 Total Paid to Date: $99.82
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $61.95 $61.95 07/01/2020 $0.00
County Sales/Use Tax 100.217030 $12.87 $12.87 07/01/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 07/01/2020 $0.00
TOTAL FEES: $99.82 $99.82 $0.00
TOTAL BALANCE DUE AS OF 07/01/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2007021
Issued Full: 07/01/2020
Permit Type: Residential Mechanical
Site Address: 1320 S BRYAN AVE
Job Valuation: $3,218.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
1320 S Bryan Ave
2. Property owner name:
Dave Kubicek
3. Property owner address:
Street Address: : 4700 Greenstone Trl
City: : Fort Collins
State: : CO
Zip: : 80525
4. Property owner phone number:
970-931-9878
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
3218
8. Type of permit:
Water Heater and HVAC
Please note: each individual appliance requires a separate application and permit.
9. Unit type:
Furnace
10. Is this new install or a replacement install?
Replacement
11. Contractor company name:
Balance Point Heating
12. Contractor company address:
5854 Lockheed Ave
13. Contractor company phone number:
970-484-4440
14. Contractor company email:
Jackee@balancepointheating.com
B2007021
6/30/2020
15. License number:
H2064
16. Additional information if applicable:
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: J. McCormick
Date Signed:
06/30/2020
18. Please include an email address to receive a confirmation and a copy of your answers.
Jackee@balancepointheating.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.