HomeMy WebLinkAbout1809 SHEELY DR - PERMITS - 3/26/2021Owner:LOUSTEAU WAYNE/WAYNE JOSEPH
1809 SHEELY DR
FORT COLLINS,CO 80526-1941 Phone:757-597-5202
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: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:Install new 4 zone mini split
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:$173.93 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 #:B2102223
Issued Full:03/26/2021
Permit Type:Residential Mechanical
Site Address:1809 SHEELY DR
Job Valuation:$4,685.26 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/26/2021 $173.93
Receipt issued:03/26/2021 Total Paid to Date:$173.93
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $90.19 $90.19 03/26/2021 $0.00
County Sales/Use Tax 100.217030 $18.74 $18.74 03/26/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/26/2021 $0.00
TOTAL FEES:$173.93 $173.93 $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 #:B2102223
Issued Full:03/26/2021
Permit Type:Residential Mechanical
Site Address:1809 SHEELY DR
Job Valuation:$4,685.26 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
1809 Sheely Dr
2. Property owner name:
Wayne & Katherine Lousteau
3. Property owner address:
Street Address: : 1809 Sheely Dr
City: : Fort Collins
State: : CO
Zip: : 80526
4. Property owner phone number:
757-597-5202
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
4685.26
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:
Minisplit
10. Is this new install or a replacement install?
New (First time installation)
11. Please provide the ME number:
Foothills
12. Contractor company name:
Poudre Valley Air
13. Contractor company address:
2416 Donella Ct
ME-1363
03.26.2021
B2102223
14.Contractor company phone number:
970-493-2050
15.Contractor company email:
nicole.giehm@pvair.com
16.License number:
H-835
17.Additional information if applicable:
Install 4 zone mini split
3. Review
18.I hereby acknowledge that I have read this application and state that the above information is complete and
correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating
building construction. I know that a permit is not valid until it has been paid and issued.
Signature of: Nicole Giehm
Date Signed:
03/25/2021
19.Please include an email address to receive a confirmation and a copy of your answers.
nicole.giehm@pvair.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.