HomeMy WebLinkAbout494 LUPINE DR - PERMITS - 2/10/2021Owner:THE OUTPOST
2200 W 5TH AVE STE 120
COLUMBUS, OH 43215-1061
Phone: 970-290-6930
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:CCN - COMMUNITY COMMERCIAL - NORTH COLLEGE DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:3 Block #:3
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:HAHN PLUMBING & HEATING
130 CHESTNUT ST
FORT COLLINS, CO 80524
License #:H-943
Phone: 970-484-7668
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:HAHN PLUMBING & HEATING 970-484-7668 H-943
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 02/10/21: $95.68 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 #:B2101077
Issued Full:02/10/2021
Permit Type:Residential Water Heater
Site Address: 494 LUPINEDR
Job Valuation:$1,319.50 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/10/2021 $95.68
Receipt issued:02/10/2021 Total Paid to Date:
$95.68
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $25.40 $25.40 02/10/2021 $0.00
County Sales/Use Tax 100.217030 $5.28 $5.28 02/10/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/10/2021 $0.00
TOTAL FEES:$95.68 $95.68 $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 #:B2101077
Issued Full:02/10/2021
Permit Type:Residential Water Heater
Site Address: 494 LUPINEDR
Job Valuation:$1,319.50 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
4 94 Lupine Dr., Fo rt Collins C O 8 0524
2 . Prope rty owne r name :
The Outpost
3 . Prope rty owne r a ddress:
Stre et Address: : 53 0 LUPINE DR
Ci ty: : Fort C ol lins
State: : CO
Zip : : 80524
4 . Prope rty owne r phone number:
9 70-2 90 -693 0
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Single Family D etach ed
7 . Value of work (La bor a nd Mate r ia ls )($):
1 319.50
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:
Water He ater
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:
Hahn Plu mbi ng & Heatin g
1 2. Contrac tor company address:
1 30 CH ESTNUT ST FOR T C OLLIN S, CO 80 524
1 3. Contrac tor company phone number:
9 70-4 84 -766 8
1 4. Contrac tor company email:
h ahn@hah nplumbing.co m
1 5. Lic ense number:
MP-15
1 6. Additional infor mation if a pplicable:
Replace d powe r ve nt wa te r heater provid ed by Hahn Plumbi ng.
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: D ONNA FEWEL L
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.
h ahn@hah nplumbing.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.