HomeMy WebLinkAbout2750 BRUSH CREEK DR - PERMITS - 2/12/2021Owner:BRUNK TIMOTHY/LAUREL
2750 BRUSH CREEK DR
FORT COLLINS,CO 80528-3080 Phone:513-504-4553
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:20 Block #:7
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:FORT COLLINS HEATING &AIR
208 COMMERCE DR #4
FORT COLLINS,CO 80524
License #:H-1309
Phone:970-484-4552
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:FORT COLLINS HEATING &AIR 970-484-4552 H-1309
Work Description:Replace water heater
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:300 301 302
TOTAL FEES PAID AS OF 02/12/21:$105.78 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 #:B2101160
Issued Full:02/12/2021
Permit Type:Residential Water Heater
Site Address:2750 BRUSH CREEK DR
Job Valuation:$1,754.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/12/2021 $105.78
Receipt issued:02/12/2021 Total Paid to Date:$105.78
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $33.76 $33.76 02/12/2021 $0.00
County Sales/Use Tax 100.217030 $7.02 $7.02 02/12/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/12/2021 $0.00
TOTAL FEES:$105.78 $105.78 $0.00
TOTAL BALANCE DUE AS OF 02/12/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101160
Issued Full:02/12/2021
Permit Type:Residential Water Heater
Site Address:2750 BRUSH CREEK DR
Job Valuation:$1,754.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
2750 Brush Creek Dr
2.Property owner name:
Lora Brunk
3.Property owner address:
Street Address: : 2750 Brush Creek
City: : Fort Collins
State: : CO
Zip: : 80528
4.Property owner phone number:
513-504-4553
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
1754
8.Type of permit:
Plumbing
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
9.Scope of work:
Other Plumbing Work
10.Describe other plumbing work:
50 Gallon Gas Water Heater Replacement
11.Master plumber or excavation company name:
Fort Collins Heating and Air
12.Master plumber or excavation company address:
208 Commerce Dr
13.Master plumber or excavation company phone number:
970-484-4552
02.12.2021
B2101160
1 4. Ma ster plum ber or excava tion company email:
jcalderon @fortcol linsheating.com
1 5. Lic ense number:
H1309
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: Jennifer Cald eron
Date Signed:
0 2/12 /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.
jcalderon @fortcol linsheating.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.