HomeMy WebLinkAbout712 DENNISON AVE - PERMITS - 2/5/2021Owner:BILLINGS LAUREN G
712 DENNISON AVE
FORT COLLINS,CO 80526-3115 Phone:214-317-5387
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 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 02/05/21:$201.12 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 #:B2100934
Issued Full:02/05/2021
Permit Type:Residential Mechanical
Site Address:712 DENNISON AVE
Job Valuation:$5,854.80 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/05/2021 $201.12
Receipt issued:02/05/2021 Total Paid to Date:$201.12
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $112.70 $112.70 02/05/2021 $0.00
County Sales/Use Tax 100.217030 $23.42 $23.42 02/05/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/05/2021 $0.00
TOTAL FEES:$201.12 $201.12 $0.00
TOTAL BALANCE DUE AS OF 02/05/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100934
Issued Full:02/05/2021
Permit Type:Residential Mechanical
Site Address:712 DENNISON AVE
Job Valuation:$5,854.80 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of �,!_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 applications w,11 not be accepted
Job Site Address
Address r\a X)<tY)K\A�OY] I\VLtt-
Property Owner lnformatiol')
Name LMNY't, n �\\Mn q..r
City/State/Zip fi: o (, 0 lJv1 n S , l, 0 805cftp
Phone Number 'a:\ L.\ " J \r O � t) 01-'
Address t \ '(' l) ':YY\Alv:\ � 0 n Vtv"-.City/State/Zip f\-o CA) \M 11 S, � 0 80 S o\.o
Scope of Work
@Air Conditioner
3.
(i) Furnace
0Minisplit
0Boiler
-----------------+------
0 Water Heater
Oother
Contractor Information
4.
5.
6.
7.
Name .JIDP Ht;Qlf inc. OBA L.\OY'l HOmr- StrViCt -m�ctt\Ant &Ott1:.
Company uon Home .Sc,rv·1cc
License Holder ---------------
Electrical Contractor Information (only required for new installs)
License Number H -b 'a 3 q
Name-------------------------------------------
Company --------------------License Number ME-------------
COMMERCIAL ONLY
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
Oves
QNo
QNo
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 l1avo roc1c! tl:i,s a1-n,1>ca1,.i11 a11<1 sl,lle lhal l1w a hove 11,rorm,11,on 1s co111plete and correct I agree I<' ( ,,.11111,
w1'.h nll requirements contn11ed herein and c•ty ord1r',1r1ces and st,1:e 1.w,s "egula1in9 build1rg co"s'.ru< 1io11 I know that a permit is not
valid until it has been paid and issued.
Print Name
B2100934
2/5/2021