HomeMy WebLinkAbout4918 BLUESTEM CT - PERMITS - 11/30/2020�of
t Collins
Site Address: 4918 BLUESTEM CT
Job Valuation: $5,500.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2013096
Issued Full: 11/30/2020
Permit Type: Residential Mechanical
Owner: BRANDT CHRISTOPHER C/KYLAH J
4918 BLUESTEM CT
FORT COLLINS, CO 80525 Phone: 970-397-2931
Zoning: Front setback: Rear setback: Right setback: _
Minor Amend #: Plat File #: ZBA Case #: _
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Left setback:
Filing M Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:----------.
Contractor: 1ST ACTION PLUMBING, HEATING &AIR, INC. ,'Lice e-#:r 975(RR) Supervisor cert#:
-_2041 Canada Goose Dr.
`Loveland,_CO 80537 - ----,-.-,---Phone: 970-775-7321
Subcontractors) -- -- Ph LNub
Mechanical: rt i 1STACTIONPLUMBING,,HEATI.
C
Work Description: Replace furnace.
one tcense m err
970=775-7321 i I H-3975(RR)
i._I i
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcaov.com/CitizenAccess ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobile
IlPossible Inspections Reauired: 204 302 300 301 ill
TOTAL FEES PAID AS OF 11/30/20: $152.87 Payment method: Credit Card 8769
'* Fee Detafl 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 work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void ff the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: ��j Print Name: ,� ti ay i �� ���T Date:
of
Fort�Collins
Site Address: 4918 BLUESTEM CT
Job Valuation: $5,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 8769 11/30/2020 $152.87
Receipt issued: 11/30/2020 'Total Paid to Date: $152.87
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Comments
Building Permit #: B2013096
Issued Full: 11/30/2020
Permit Type: Residential Mechanical
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$105.87
$105.87
11/30/2020
County Sales/Use Tax 100.217030
$22.00
$22.00
11/30/2020
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/30/2020
TOTAL FEES: $152.87 $162.87
TOTAL -BALANCE DUE AS OF 1.1/30/2020:
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Flirt Collins
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Job Site Address
Application #
Date Received
Address Zla/ btir—ue- ��Pm l-t-- City/State/Zip E?<Z�4'
Property Owner Information
Name apg-� Phone Number 930-39%-a93)
Address ���g u v a/tpy� l�- City/State/Zip
Scope of Work
0 Air Conditioner
® Furnace
0 Minisplit
0 Boiler
0 Water Heater
0 Other
Contractor Information
Description
Valuation
(per. appliance)
New or
Replacement?
Name S�
� ,&fr�,t) PLum.6%� f%-'tl'9
Company 490 4 'nl 1A)C- n ,14((—
License Holder &% „./ 177r-AK14 License Number
Electrical Contractor Information (only required for new installs)
Name
Company
License Number ME -
Rooftop 0 Yes 0 No Note For new rooftop equipment or replacements that are heavier than original, engineered documentation
needs to be provided to show roof can support equipment.
Equipment is same weight or lighter 0 Yes 0 No Equipment is same footprint or smaller 0 Yes 0 No
Equipment is in same location 0 Yes 0 No Equipment is same height or smaller 0 Yes 0 No
Location
If for a water heater or boiler in any food or beverage serving facility/Day Care/Institution occupancies, I have approval from the
Larimer County Health Department for minimum water heater capacity. 0 Yes 0 No
Tenant Name
&,'4 watiltg�-(-' /ice aoa0
Print Name Signature Date