HomeMy WebLinkAbout3544 LONG CREEK DR - PERMITS - 2/23/2021Owner:CUBBAGE DANIEL/ELIZABETH
3544 LONG CREEK DR
FORT COLLINS,CO 80528-7040 Phone:919-610-1761
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 #:14 Block #:9
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:VALLEY HEATING AIR &REFRIGERATION,INC.
14475 Bulrush Dr
Greeley,CO 80631
License #:H-2542-C
Phone:970-686-2021
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:VALLEY HEATING AIR &REFRI 970-686-2021 H-2542-C
Work Description:Replace air conditioner
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 02/23/21:$191.48 Payment method:Credit Card 1190
**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 #:B2101379
Issued Full:02/23/2021
Permit Type:Residential Mechanical
Site Address:3544 LONG CREEK DR
Job Valuation:$5,440.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #1190 02/23/2021 $191.48
Receipt issued:02/23/2021 Total Paid to Date:$191.48
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $104.72 $104.72 02/23/2021 $0.00
County Sales/Use Tax 100.217030 $21.76 $21.76 02/23/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/23/2021 $0.00
TOTAL FEES:$191.48 $191.48 $0.00
TOTAL BALANCE DUE AS OF 02/23/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101379
Issued Full:02/23/2021
Permit Type:Residential Mechanical
Site Address:3544 LONG CREEK DR
Job Valuation:$5,440.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
3544 Long Creek Drive
2.Property owner name:
Beth Cubbage
3.Property owner address:
Street Address: : 3544 Long Creek Drive
City: : Fort Collins
State: : Colorado
Zip: : 80528
4.Property owner phone number:
9196101761
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
$5440.00
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:
Air Conditioner
10.Is this new install or a replacement install?
Replacement (New unit replacing existing unit)
11.Contractor company name:
Valley Heating Air And Refrigeration Inc
12.Contractor company address:
671 Academy Court Unit A Windsor Co 80550
13.Contractor company phone number:
9706862021
02.23.2021
B2101379
14.Contractor company email:
valleyhvacr1@gmail.com
15.License number:
h2542c
3. Review
17.I hereby acknowledge that I have read this application and state that the above information is complete and
correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating
building construction. I know that a permit is not valid until it has been paid and issued.
Signature of: Michele Comiskey
Date Signed:
02/22/2021
18.Please include an email address to receive a confirmation and a copy of your answers.
valleyhvacr1@gmail.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.