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Home My WebLink About1113 BAKER ST - PERMITS - 4/12/2021City of k tColli~ Site Address: 1113 BAKER ST Job Valuation: $1,500.00 Category: Residential Owner: SAWCZYN GEORGE A/DIANE L 4407 HARPOON CT FORT COLLINS, CO 80525-3341 Zoning: Front setback: Rear setback: Co mm unity Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82102668 Issued Full : 04/12/2021 Permit Type: Residential Water Heater Phone : 602-686-1715 Right setback: ____ _ Left setback: Minor Ame nd #: ______ Plat File#: _____ ZBA Case#: Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD : ________________ Filing#: Lot#: Block#: -------- Code: Res sq ft: ____ Com sq ft: # of stories: ____ 0cc Group: Fire Sprklr: ____ Stock plan #: ___ _ Ind sq ft: ______ Basement sq ft: _______ _ Const Type: ---------------------Stock plan options: ------------------Contractor: AGGIE PLUMBI NG & SERVICE INC License#: MP-515 Supervisor cert#: 309 S SUMMIT VIEW DR #12 FORT COLLINS, CO 80524 Phone: 970-226-9979 Subcontractor(s) Phone License Number Plumbing: AGGIE PLUMBING & SERVICE I 970-226-9979 MP-515 Work Description: Replace water heater with a 40 gallon gas water heater. SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone : 970-22 1-6769 ** 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 04/12/21: $99.88 Payment method: Credit Card 0669 •• 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 prop erty 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 tha t 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. Signature: Print Name: Date: -------------------------Form Revised Oct 2010 City of k tColli~ Site Address: 1113 BAKER ST Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2102668 Issued Full: 04/12/2021 Permit Type: Residential Water Heater Job Valuation: $1,500.00 Category: Residential Transactions Method Qhe~ls ~uwb~r Di!t~ ei!id Credit Card CK# 0669 04/12/2021 Receipt issued: 04/12/2021 Total Paid to Date: Fee Descri12tion Account Code City Sales/Use Tax 251 .122030 County Sales/Use Tax 100.217030 Permit Flat Fee -$65 1000.422010 TOTAL FEES: Amount ei!id Qowweat~ $99.88 $99.88 Fee Amount Amount Paid Date Paid $28.88 $28.88 04/12/2021 $6.00 $6.00 04/12/2021 $65.00 $65.00 04/12/2021 $99 .88 $99.88 TOT AL BALANCE DUE AS OF 04/12/2021: Amount Due $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only . Fees subject to change without notice. Form Revised Oct 2010 Cityof k9!5oll~ Community Development and Neighborhood Services 281 N College buildingservices@fcgov.com Fort Collins, CO 80524 970-416-2740 Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address 5f Address /1'/3 !54-~e_e ' Property ~er Information <1 City/State/~@d/5; CO ~.2~.2 Phone Number (l)t} 2 -feffo~/7/ S Name ~eOIZ.(e ~Awczff Address lf w 7 -lllfl(fb'o fJ ~c City/State/Zip ff, Co?Lrllls Cv'z52> _ ~Z: Scope of Work 0 Air Conditioner 0 Furnace 0Minisplit O~r '8 Water Heater Oother I Contracto!7?~m!3tion 9 Name ~I~ (LfA. W1 {3 (/Jcr Company 3. 4. 5. 6. . 7. L License Holder ______________ _ Electrical Contractor Information (only required for new installs) Name Company . . -.. . ... ; ; ;;;;;-r- . II(~ License Number _______________ _ License Number ME-___________ _ .. ": ,' ' ·: .. ·. . : COMMERCIAL.ONLY . . . Rooftop O Yes O No Note For new rooftop equipment or replacements that are heavier than orig inal, e ngineered documentation needs to be provided to show roof can support equipment. Equipment is same weight or lighter \ Equipment is in same location I Location Oves Oves 0No 0No Equipment is same footprint or smaller Equipment is same height or smaller Oves Oves QNo QNo I If for a water heater or boiler in any food or beverage serving facility/Day Care/Institution occupancies, I have approval from the Larimer County Health Department for minimum water heater capacity. 0 Yes O No I-~~-~nt Name ____ _ --·--________ __, 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. t1£o;z9c- 1 Print Name