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HomeMy WebLinkAbout1100 CANVASBACK DR - PERMITS - 6/10/2021City of Fort Collins Site Address: 1100 CANVASBACK DR Job Valuation: $3,575.00 Category: Residential Owner: STERLING DAVID TIMOTHY 2001 UNION DR FORT COLLINS, CO 80526 Zoning: Front setback: Rear setback: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2104377 Issued Full: 06/10/2021 Permit Type: Residential Mechanical Phone: 970-430-8678 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: # of stories: ____ 0cc Group: Ind sq ft: ______ Basement sq ft _______ _ Fire Sprklr: ____ Stock plan #: ___ _ Contractor: ALPS PERFORMANCE HVAC 1853 Alps Ranch Rd. Loveland, CO 80537 Subcontractor(s) Mechanical: ALPS PERFORMANCE HVAC Work Description: Replace 2 ton, 14 seer air conditioner. Const Type: ____________________ _ Stock plan options: _________________ _ License#: H-3786 Supervisor cert#: Phone: 970-215-8946 Phone 970-215-8946 License Number H-3786 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 06/10/21: $148.12 Payment method: Credit Card 2831 ** 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. Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010 City of ktColli~ Site Address: 1100 CANVASBACK DR Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82104377 Issued Full: 06/10/2021 Permit Type: Residential Mechanical Job Valuation: $3,575.00 Category: Residential Transactions Method Check Number Date Paid Credit Card CK#2831 06/08/2021 Receipt issued: 06/10/2021 Total Paid to Date: Fee Description City Sales/Use Tax County Sales/Use Tax Permit Flat Fee -$65 Account Code 251.122030 100.217030 1000.422010 TOTAL FEES: Amount Paid $148.12 $148.12 Comments Fee Amount Amount Paid $68.82 $68.82 $14.30 $14.30 $65.00 $65.00 $148.12 $148.12 Date Paid 06/08/2021 06/08/2021 06/08/2021 TOTAL BALANCE DUE AS OF 06/10/2021: Amount Due $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Cltyof k;Soll~s Community Development and Neighborhood Services 281 N College buildingservices@fcgov.com Fort Collins, CO 80524 970-416-2740 WATER HEATER & HVAC PERMIT APPLICATION Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address ///)() J)r_ City/State/Zipf+ C...v //,4 ( 0 3 OJ;JJ-Prope~wne~ ~orm:i! !' Name _Qc::. II I ,,j .... C:f_f i' &_/I~ Phone Number Address __________________________ _ Scope of Work ~ir Conditioner 0 Furnace 0 Minisplit OBoiler 0 Water Heater Oother Nam~ ~ (',-/ tf--?::. •• 1~L~ (.,,;) 2. 3. 4. 5. 6. 7. 9:/-t)~</so -?l 77-? City/State/Zip£/ L11 //r;,,/ Cg l } i l ~ Contractor. lin:o .ation ,('/ /J::,(" Company ?J /4_;.(orfrvl~ Le-H [/ /.J-C License Holder Skc//(c /t /4/ License Number_._/~.....,_.,-_J_~__._d,_(=o.__ _____ _ I ~ Electrical Contractor Information (only required for new installs) Name License Number ME-Company ------------Rooftop O Yes ~o Note For new rooftop equipment or replacements that are heavier than original, engineered documentation ' needs to be provided to show roof can support equipment. Equipment is same weight or lighter Equipment is in same location Location OYes OYes ONo QNo Equipment is same footprint or smaller Equipment is same height or smaller OYes OYes QNo ONo Llfor a water heater or boiler in any food or beverage serving facility/Day Care/Institution occupancies, I have approval from the arimer County Health Department for minimum water heater capacity. 0 Yes O No enant Name ________________________ _ ---------------------- -) C <l·?/ I Date