HomeMy WebLinkAbout503 MATHEWS ST - PERMITS - 2/19/2021Owner:GREEN JOHN W/ANNMARIE
268 KENSINGTON WAY
ROYAL PALM BEACH, FL 33414-4316
Phone: 860-970-9356
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCB - NEIGHBORHOOD CONSERVATION - BUFFER 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:PATRICK PLUMBING & HEATING
3600 HORSETOOTH CT
FORT COLLINS, CO 80526
License #:MP-254
Phone: 970-225-2282
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:PATRICK PLUMBING & HEATING 970-225-2282 MP-254
Work Description:
Install new tankless water heater in lieu of old existing atmospheric 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 02/19/21:$208.22 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 #:B2101342
Issued Full:02/19/2021
Permit Type:Residential Water Heater
Site Address: 503 MATHEWSST
Job Valuation:$6,160.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/19/2021 $208.22
Receipt issued:02/19/2021 Total Paid to Date:
$208.22
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $118.58 $118.58 02/19/2021 $0.00
County Sales/Use Tax 100.217030 $24.64 $24.64 02/19/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/19/2021 $0.00
TOTAL FEES:$208.22 $208.22 $0.00
TOTAL BALANCE DUE AS OF 02/19/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101342
Issued Full:02/19/2021
Permit Type:Residential Water Heater
Site Address: 503 MATHEWSST
Job Valuation:$6,160.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
5 03 Math ew s Street
2 . Prope rty owne r name :
John Green & Annmarie Banchy
3 . Prope rty owne r a ddress:
Stre et Address: : 50 3 Mathe ws Stre et
Ci ty: : Fort C ol lins
State: : CO
Zip : : 80526
4 . Prope rty owne r phone number:
8 60-9 70 -935 6
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Other:: 3 p le x
7 . Value of work (La bor a nd Mate r ia ls )($):
$6,160.00
8 . Ty pe of permit:
Plumbing
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 . Scope of work:
Other Plu mbi ng Wo rk
1 0. Describe other plum bing work:
Install n ew ta nkless wate r heater in lieu of ol d existin g atmosphe ric w ater heater
1 1. Ma ster plum ber or excava tion company na m e:
Patrick Pl umbing and He atin g LLC
1 2. Ma ster plum ber or excava tion company address:
Patrick Pl umbing and He atin g LLC
1 3. Ma ster plum ber or excava tion company phone number:
9 70566 19 26
1 4. Ma ster plum ber or excava tion company email:
p ph250 0@comcast.n et
1 5. Lic ense number:
MP25 4
1 6. Additional infor mation if a pplicable:
Fie ld verifi cation form will be on site for g as piping re trofit. Syste m is active
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: Michael Patrick
Date Signed:
0 2/18 /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.
p ph2500@comcast.n et
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.