HomeMy WebLinkAbout501 N SHIELDS ST - PERMITS - 2/5/2021Owner:BISHOP LEAH RAE
308 RED HAWK DR
FORT COLLINS,CO 80524 Phone:970-481-7405
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCL -NEIGHBORHOOD CONSERVATION -LOW 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:POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS,CO 80524
License #:H-835
Phone:970-493-2050
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:POUDRE VALLEY AIR 970-493-2050 H-835
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 02/05/21:$85.82 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 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 if 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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100926
Issued Full:02/05/2021
Permit Type:Residential Mechanical
Site Address:501 N SHIELDS ST
Job Valuation:$895.47 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/05/2021 $85.82
Receipt issued:02/05/2021 Total Paid to Date:$85.82
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $17.24 $17.24 02/05/2021 $0.00
County Sales/Use Tax 100.217030 $3.58 $3.58 02/05/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/05/2021 $0.00
TOTAL FEES:$85.82 $85.82 $0.00
TOTAL BALANCE DUE AS OF 02/05/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100926
Issued Full:02/05/2021
Permit Type:Residential Mechanical
Site Address:501 N SHIELDS ST
Job Valuation:$895.47 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
501 N Shields St
2.Property owner name:
Leah Bishop
3.Property owner address:
Street Address: : 5809 Claret St
City: : Timnath
State: : CO
Zip: : 80547
4.Property owner phone number:
970-481-7405
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
895.47
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:
Furnace
10.Is this new install or a replacement install?
Replacement (New unit replacing existing unit)
11.Contractor company name:
Poudre Valley Air
12.Contractor company address:
2416 Donella Ct
13.Contractor company phone number:
970-493-2050
02.05.2021
B2100926
1 4. Contrac tor company email:
n icole.gi ehm@pvair.com
1 5. Lic ense number:
H-83 5
1 6. Additional infor mation if a pplicable:
Replace furnace
3. Review
1 7. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and
c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating
building construction. I know that a perm it is not valid until it has be en paid and issue d.
Signa tu re of: N icole Gieh m
Date Signed:
0 2/04 /2 021
1 8. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
n icole.gi ehm@pvair.co m
4. Thank You!
Thank you for submitting your a pplication for pr ocess ing.
To submit a nother over the counte r a pplica tion, click here.