HomeMy WebLinkAbout339 WOOD ST - PERMITS - 2/1/2021Owner:TRUJILLO KIRT
339 WOOD ST
FORT COLLINS,CO 80521-1954 Phone:970-305-0713
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY 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:BENJAMIN FRANKLIN PLUMBING
4600 Innovation Drive,Ste 102
Fort Collins,CO 80525
License #:MP-598
Phone:970-685-4571
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:BENJAMIN FRANKLIN PLUMBING 970-685-4571 MP-598
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 02/01/21:$113.52 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 #:B2100780
Issued Full:02/01/2021
Permit Type:Residential Water Heater
Site Address:339 WOOD ST
Job Valuation:$2,086.75 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/01/2021 $113.52
Receipt issued:02/01/2021 Total Paid to Date:$113.52
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $40.17 $40.17 02/01/2021 $0.00
County Sales/Use Tax 100.217030 $8.35 $8.35 02/01/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/01/2021 $0.00
TOTAL FEES:$113.52 $113.52 $0.00
TOTAL BALANCE DUE AS OF 02/01/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100780
Issued Full:02/01/2021
Permit Type:Residential Water Heater
Site Address:339 WOOD ST
Job Valuation:$2,086.75 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Cityof k!£oll�s WATER HEATER & HVAC PERMIT APPLICATION
Community Development and Neighborhood SeNices 281 N College buildingseNices@fcgov.com Fort Collins, CO 80524 970-416-2740 Application# __________ _
Date Received ALL Information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address 3 J°I woo� .Jtr�'i.t A: ovOv\/\n�. VD C00 5):1 City/State/Zip----------Property Owner Information Name ¥-\ft Tt\Llj \ I\ 0 Phone Number Ci) 3:0 � 3(i) lj O 0 T 13Address 3 ;J q w oom Jt Q Ft O (,.o \A.AD� ' {A) � 0 5 a:1 City/State/Zip ______ _ Scope of Work 0 Air Conditioner 0 Furnace 0Minisplit 0Boiler
S, Water Heater Oather Contractor Information Name m � (it � v1 n � (r Q � t l.
4.
5. 6. 7.
Company B�n·1 aA'Y\;1Y) Fratt�rin Pl \Nhv\?ihq License Holder License Number_4D'.).......,_-1-p-�_5..J.-g..a.......c<c,:c..-________ _ Electrical Contractor Information (only required for new installs)Name---------------------------------------------Company License Number ME--------------
II Rooftop O Yes O No Note For new rooftop equipment or replacements that are heavier than original, engineered documentationneeds 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 YesEquipment is same height or smaller O Yes QNo QNo
llf for a water heater or boiler in any food or beverage seNing 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 acknowledgP-tl1a1 I have r 0ad this aopl1cauon and stale tf:al 11,e abovr. 1nrormat,on ,s complete and correct I ;1gr0e to con1plv w1t11 all requrremenls contamf'd herein anc! c1ly orcl1nances c111d state laws regulatrng bu,ld,ng cc,.1s1rucL011 I know that a permit is not valid until it has been paid and issued.
ru u\actA 4' & o t n
Print Name
2/1/2021
B2100780