HomeMy WebLinkAbout3002 W ELIZABETH ST - 4A - PERMITS - 2/17/2021Owner:FORSBERG RICHARD M
7823 W QUARTO AVE
LITTLETON, CO 80128-4335
Phone: 970-493-4052
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:NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
License #:H-837
Phone: 970-223-8873
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:NORTHERN COLORADO AIR INC 970-223-8873 H-837
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 02/17/21:$117.54 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 #:B2101258
Issued Full:02/17/2021
Permit Type:Residential Mechanical
Site Address:3002 W ELIZABETH ST, 4 A
Job Valuation:$2,260.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/17/2021 $117.54
Receipt issued:02/17/2021 Total Paid to Date:
$117.54
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $43.50 $43.50 02/17/2021 $0.00
County Sales/Use Tax 100.217030 $9.04 $9.04 02/17/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/17/2021 $0.00
TOTAL FEES:$117.54 $117.54 $0.00
TOTAL BALANCE DUE AS OF 02/17/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101258
Issued Full:02/17/2021
Permit Type:Residential Mechanical
Site Address:3002 W ELIZABETH ST, 4 A
Job Valuation:$2,260.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
3 002 W ELIZABETH ST #4 A
2 . Prope rty owne r name :
RICHAR D FORSBERG
3 . Prope rty owne r a ddress:
Stre et Address: : 78 23 W QU ARTO AVE
Ci ty: : LITTLETON
State: : CO
Zip : : 80128
4 . Prope rty owne r phone number:
9 70-4 93 -405 2
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Townh ome (attach ed)
7 . Value of work (La bor a nd Mate r ia ls )($):
2 260
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:
Furna ce
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:
NOR THERN C OLORADO AIR INC
1 2. Contrac tor company address:
8 12 STOC KTON AVE
1 3. Contrac tor company phone number:
9 70-2 23 -887 3
1 4. Contrac tor company email:
KAREN AH@NCAGRIFF.COM
1 5. Lic ense number:
H-83 7
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: KARENA HUNTWORK
Date Signed:
0 2/16 /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.
KAREN AH@NCAGRIFF.COM
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.