HomeMy WebLinkAbout5334 FOSSIL RIDGE DR - PERMITS - 1/12/2021 (2)Owner:COOKMAN-BROWN PAIGE CAROLYN
5334 FOSSIL RIDGE DR
FORT COLLINS,CO 80525-3869 Phone:970-825-4477
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:JMP HEAT INC DBA LION HOME SERVICE
4600 Innovation Drive,Ste 102
FORT COLLINS,CO 80525
License #:H-3839
Phone:970-632-5342
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:JMP HEAT INC DBA LION HOME 970-632-5342 H-3839
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 01/12/21:$360.03 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 #:B2100157
Issued Full:01/12/2021
Permit Type:Residential Mechanical
Site Address:5334 FOSSIL RIDGE DR
Job Valuation:$12,689.45 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 01/12/2021 $198.96
Trust Account 01/08/2021 $161.07
Receipt issued:01/12/2021 Total Paid to Date:$360.03
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $244.27 $244.27 01/12/2021 $0.00
County Sales/Use Tax 100.217030 $50.76 $50.76 01/12/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/12/2021 $0.00
TOTAL FEES:$360.03 $360.03 $0.00
TOTAL BALANCE DUE AS OF 01/12/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100157
Issued Full:01/12/2021
Permit Type:Residential Mechanical
Site Address:5334 FOSSIL RIDGE DR
Job Valuation:$12,689.45 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of k;Soll�s -. ---. . -WATER HEATER & HVAC PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com Fort Collins, CO 80524 970-416-2740
Application# __________ _
Date Received
ALL information is REQUIRED. Incomplete app lications will not be accepted.
Job Site Address
Address 5334 FO�-f"t\ P.\<A�t Dr. Et. uo\t\11\'.)<,, co S0��5 City /State/Zip _________ _
Property Owner Information
Name £ {M � '<, By Own Phone Number O\J-(b O 0 d5 ° tt 1 t
Address t5b¥t FO-.£{\\ 't-itAq't ur.fi-.(A)Wtns, W 005t5 City/State/Zip ______ _
Scope of Work
0 Air Conditioner
•Furnace 1
2. 0Minisplit 3.
0Boiler 4.
0 Water Heater 5.
6.
Qather 7.
Contractor Information
Name m 01 (i\ � );i n Y, (r Q � t t
Company JyYlP \HM Inc 'O!'A \.t\Ol'\ t"roffit -St\'V\C�
License Holder --------------
Electrical Contractor Information (only required for new installs)
Name
License Number
Company License Number ME-------------
Rooftop O Yes O No Note For new rooftop equipment or replacements that are heavier than original, engineered documentation needs to be provided to show roof can support equipment.
Equipment is same weight or lighter
Equipment is in same location
Location
0Yes
0Yes
QNo
0No
Equipment is same footprint or smaller O Yes
Equipment is same height or smaller O Yes
QNo
QNo
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
Tenant Name ________________________ _
I hereby acknowledge that I have read t1is application and state thal !he above information ,s co111plele and correct. I <'igre2 lo r.on1ply w,t11 all requirements contained herein a0d city orcl111ances ancl state laws regulating bL,1ld1ng co11struct1on. I know that a permit is not valid until it has been paid and issued. � I
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Date
B21001571/8/2020