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HomeMy WebLinkAbout2815 OUTRIGGER WAY - PERMITS - 3/26/2021 (2)Owner:MOZER ZACHARY J/CANICE M 2815 OUTRIGGER WAY FORT COLLINS,CO 80524 Phone:303-242-1558 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 #:189 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:POUDRE VALLEY AIR 2416 DONELLA CT #A FORT COLLINS,CO 80524 License #:H-835 Phone:970-493-2050 Supervisor cert #: Subcontractor(s)Phone License Number Mechanical:POUDRE VALLEY AIR 970-493-2050 H-835 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 03/26/21:$143.54 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 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 #:B2102222 Issued Full:03/26/2021 Permit Type:Residential Mechanical Site Address:2815 OUTRIGGER WAY Job Valuation:$3,378.21 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 03/26/2021 $143.54 Receipt issued:03/26/2021 Total Paid to Date:$143.54 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $65.03 $65.03 03/26/2021 $0.00 County Sales/Use Tax 100.217030 $13.51 $13.51 03/26/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/26/2021 $0.00 TOTAL FEES:$143.54 $143.54 $0.00 TOTAL BALANCE DUE AS OF 03/26/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2102222 Issued Full:03/26/2021 Permit Type:Residential Mechanical Site Address:2815 OUTRIGGER WAY Job Valuation:$3,378.21 Category:Residential Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1.Job site address: 2815 Outrigger Way 2.Property owner name: Zack Mozer 3.Property owner address: Street Address: : 2815 Outrigger Way City: : Fort Collins State: : CO Zip: : 80524 4.Property owner phone number: 303-242-1558 5.Project type: Residential 6.What type of residential? Single Family Detached 7.Value of work (Labor and Materials)($): 3378.21 8.Type of permit: Water Heater and HVAC Please note: each individual lot requires a separate application and permit. Please note: each individual appliance requires a separate application and permit. 9.Unit type: Furnace 10.Is this new install or a replacement install? Replacement (New unit replacing existing unit) 11.Contractor company name: Poudre Valley Air 12.Contractor company address: 2416 Donella Ct 13.Contractor company phone number: 970-493-2050 03.26.2021 B2102222 1 4. Contrac tor company email: n icole.gi ehm@pvair.com 1 5. Lic ense number: H-83 5 1 6. Additional infor mation if a pplicable: Replace furnace 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: N icole Gieh m Date Signed: 0 3/25 /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. n icole.gi ehm@pvair.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.