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HomeMy WebLinkAbout3178 WORTHINGTON AVE - PERMITS - 2/10/2021Owner:CULLIS ANDREW S/ALICIA J 3178 WORTHINGTON AVE FORT COLLINS,CO 80526-2788 Phone:970-481-6008 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:IMS HEATING AND AIR INC 5213 LONGS PEAK RD UNIT A BERTHOUD,CO 80513 License #:H-1516 Phone:970-532-0123 Supervisor cert #: Subcontractor(s)Phone License Number Mechanical:IMS HEATING AND AIR INC 970-532-0123 H-1516 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 02/11/21:$146.38 Payment method:Credit Card 2692 **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 #:B2101114 Issued Full:02/11/2021 Permit Type:Residential Mechanical Site Address:3178 WORTHINGTON AVE Job Valuation:$3,500.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #2692 02/11/2021 $146.38 Receipt issued:02/11/2021 Total Paid to Date:$146.38 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $67.38 $67.38 02/11/2021 $0.00 County Sales/Use Tax 100.217030 $14.00 $14.00 02/11/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/11/2021 $0.00 TOTAL FEES:$146.38 $146.38 $0.00 TOTAL BALANCE DUE AS OF 02/11/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2101114 Issued Full:02/11/2021 Permit Type:Residential Mechanical Site Address:3178 WORTHINGTON AVE Job Valuation:$3,500.00 Category:Residential Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1.Job site address: 3178 Worthington Ave 2.Property owner name: Andy Cullis 3.Property owner address: Street Address: : 3178 Worthington Ave City: : Fort Collins State: : co Zip: : 80526 4.Property owner phone number: 970-481-6008 5.Project type: Residential 6.What type of residential? Single Family Detached 7.Value of work (Labor and Materials)($): 3500.00 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: IMS Heating and AIr 12.Contractor company address: IMS Heating and AIr 13.Contractor company phone number: 970-532-0123 02.11.2021 B2101114 1 4. Contrac tor company email: shau na@i msho meco mfort.com 1 5. Lic ense number: H-15 16 1 6. Additional infor mation if a pplicable: replace a 1 20,000 BTU 97% gas fu rnace 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: Shau na Colegate Date Signed: 0 2/10 /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. shau na @i msho meco mfort.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.