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HomeMy WebLinkAbout1901 DERBY CT - PERMITS - 3/10/2021Owner:STEVE NGUYEN 1901 DERBY CT FORT COLLINS, CO 80526 Phone: 720-514-0459 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:MGI MECHANICAL SERVICES 4243 Rockview Ct FORT COLLINS, CO 80526 License #:H-4034(C) Phone: 970-310-9232 Supervisor cert #: Subcontractor(s)Phone License Number Mechanical:MGI MECHANICAL SERVICES 970-310-9232 H-4034(C) 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 03/10/21:$133.89 Payment method:Credit Card 4861 ** 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 #:B2101793 Issued Full:03/10/2021 Permit Type:Residential Mechanical Site Address:1901 DERBY CT Job Valuation:$2,963.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK # 4861 03/10/2021 $133.89 Receipt issued:03/10/2021 Total Paid to Date: $133.89 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $57.04 $57.04 03/10/2021 $0.00 County Sales/Use Tax 100.217030 $11.85 $11.85 03/10/2021 $0.00 Permit Flat Fee - $65 1000.422010 $65.00 $65.00 03/10/2021 $0.00 TOTAL FEES:$133.89 $133.89 $0.00 TOTAL BALANCE DUE AS OF 03/10/2021:$0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #:B2101793 Issued Full:03/10/2021 Permit Type:Residential Mechanical Site Address:1901 DERBY CT Job Valuation:$2,963.00 Category:Residential Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Building Permit Ov er the Counter Application 2. 1 . Job site addres s: 1 901 Derby C t 2 . Prope rty owne r name : Steve Nguyen 3 . Prope rty owne r a ddress: Stre et Address: : 19 01 Derb y Ct Ci ty: : Fort C ol lins State: : CO Zip : : 80526 4 . Prope rty owne r phone number: (720) 51 4-04 59 5 . Project type: Resid en tial 6 . What ty pe of res idential? Single Family D etach ed 7 . Value of work (La bor a nd Mate r ia ls )($): 2 963 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: MGI Me chanical Se rvices 1 2. Contrac tor company address: 2 66 Basher Dr Berth oud, CO 805 13 1 3. Contrac tor company phone number: 9 70287 16 73 1 4. Contrac tor company email: b ri@mgi mech anica lservi ces.co m 1 5. Lic ense number: H-40 34 (C ) 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: Bri Ob erle Date Signed: 0 3/09 /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. b ri@mgi mech anica lservi ces.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.