HomeMy WebLinkAbout225 WHITE WILLOW DR - i110 - PERMITS - 2/10/2021Owner:CASEY JOHN RUSSELL JR/BARBARA
5225 WHITE WILLOW DR UNIT I110
FORT COLLINS, CO 80528-5018
Phone: 951-203-9149
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 #: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: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 1.5 ton 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 02/10/21:$155.63 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 owneror owner's agent, authorized to perform the proposed workonthe property describedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociated with suchwork. I understand that suchpermit may be
revoked in the event that issuance was basedonincorrect information. This permit shall becomenull and void if the workauthorized by suchpermit is not commenced,
suspended, abandoned or not inspected within 180 daysfromthe 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 #:B2101015
Issued Full:02/10/2021
Permit Type:Residential Mechanical
Site Address: 5225 WHITE WILLOW DR, I 110
Job Valuation:$3,898.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/10/2021 $155.63
Receipt issued:02/10/2021 Total Paid to Date:
$155.63
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $75.04 $75.04 02/10/2021 $0.00
County Sales/Use Tax 100.217030 $15.59 $15.59 02/10/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/10/2021 $0.00
TOTAL FEES:$155.63 $155.63 $0.00
TOTAL BALANCE DUE AS OF 02/10/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101015
Issued Full:02/10/2021
Permit Type:Residential Mechanical
Site Address: 5225 WHITE WILLOW DR, I 110
Job Valuation:$3,898.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
5 225 White Willow Dr.
2 . Prope rty owne r name :
John Ca sey
3 . Prope rty owne r a ddress:
Stre et Address: : 52 25 White Willow D r.
Ci ty: : Fort C ol lins
State: : CO
Zip : : 80528
4 . Prope rty owne r phone number:
(951) 20 3-91 49
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Single Family D etach ed
7 . Value of work (La bor a nd Mate r ia ls )($):
3 898.00
8 . Ty pe of permit:
Water He ater and HVAC
Pleas e note: e ach individual lot require s a se parate applic ation and perm it.
Pleas e note: e ach individual applianc e requir es a sepa rate application and permit.
9 . U nit type:
Air C ondi tion er
1 0. Is this ne w insta ll or a r eplacement install?
Replace ment (Ne w unit replacin g existin g un it)
1 1. Contrac tor company na m e:
Fort Coll in s He atin g and Air Conditioning
1 2. Contrac tor company address:
2 08 Commerce D r. Unit 4
1 3. Contrac tor company phone number:
(970) 48 4-45 52
1 4. Contrac tor company email:
cblackman@fo rtco llinsheati ng.co m
1 5. Lic ense number:
H1309
1 6. Additional infor mation if a pplicable:
Installin g 1.5 To n A/C Un it
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: C helse a Blackman
Date Signed:
0 2/09 /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.
cblackman@fo rtco llinsh eati ng.co m
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.