HomeMy WebLinkAbout503 MATHEWS ST - 03 - PERMITS - 2/10/2021 (2)Owner:BERTRAND PROPERTIES LLC
7601 RUSHING WIND GROVE
COLORADO SPRINGS,CO 80908 Phone:860-970-9356
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCB -NEIGHBORHOOD CONSERVATION -BUFFER DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:
#of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:CUSTOM HEATING &AIR,INC DBA AIRE SERV
395 DELOZIER DR #120
FORT COLLINS,CO 80524
License #:H-1004
Phone:970-282-7220
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:CUSTOM HEATING &AIR,INC 970-282-7220 H-1004
Work Description:Replace furnace 1 of 2
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 02/10/21:$131.61 Payment method:Check 6304
**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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101018
Issued Full:02/10/2021
Permit Type:Commercial Mechanical
Site Address:503 MATHEWS ST,3
Job Valuation:$2,865.00 Category:Commercial Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK #6304 02/10/2021 $131.61
Receipt issued:02/10/2021 Total Paid to Date:$131.61
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $55.15 $55.15 02/10/2021 $0.00
County Sales/Use Tax 100.217030 $11.46 $11.46 02/10/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/10/2021 $0.00
TOTAL FEES:$131.61 $131.61 $0.00
TOTAL BALANCE DUE AS OF 02/10/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101018
Issued Full:02/10/2021
Permit Type:Commercial Mechanical
Site Address:503 MATHEWS ST,3
Job Valuation:$2,865.00 Category:Commercial Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
503 Mathews Street #3
2.Property owner name:
Annmarie Banchy
3.Property owner address:
Street Address: : 503 Mathews Street
City: : Fort Collins
State: : CO
Zip: : 80524
4.Property owner phone number:
860-970-9356
5.Project type:
Residential
6.What type of residential?
Other:: triplex
7.Value of work (Labor and Materials)($):
2865.00
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:
Aireserv
12.Contractor company address:
395 Delozier Dr suite 120
13.Contractor company phone number:
970-282-7220
02.10.2021
B2101018
1 4. Contrac tor company email:
a ireserv9 70@gma il.com
1 5. Lic ense number:
H-10 04
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: Tyra Ada ms
Date Signed:
0 2/09 /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.
a ireserv9 70@gma il.com
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.