HomeMy WebLinkAbout1001 LAPORTE AVE - PERMITS - 5/4/2021City of
,ktColli~
Site Address: 1001 LAPORTE AVE
Job Valu ation: $2,500.00 Category: Residential ·
Owner: HOOVER CALEB T/ELISABETH A
1001 LAPORTE AVE
FORT COLLINS, CO 80521
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2103337
Iss ued Full: 05/04/2021
Permit Type: Residential Water Heater
Phone: 970-232 -5293
Zon ing: Fro nt setback: ______ Rear setback: _____ Fight setback: ____ _ Left setback:
Minor Amend#: ______ Plat File#: _____ ZBA Case #:
Zon ing district: NCL -NEIGHBORHOOD CONSERVATION -LOW DENSITY DISTRICT
Legal: Subd ivis ion/PUD: ________________ Fi ling#: Lot# Block#:
Code: Res sq ft: ____ Com sq ft:
# of stories: ____ 0cc Group:
Fire Sprk lr: ____ Stock plan # ___ _
Contractor: DISCOUNT WATER HEATERS, INC
1140 LAWRENCE DR
FORT COLLINS, CO 80521
Subcontractor(s)
Plumbing DISCOUNT WATER HEATERS, IN
--------
Ind sq ft: ______ Basement sq ft: _______ _
Const Type: ____________________ _
Stock plan opti:)ns: ------------------
License#: MP-645 Supervisor cert#:
Phone 970-420-7721
Phone
970-420-7721
Lice nse Number
MP-645
Work Description : Replace water heater with tank less 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 05/04/21 : $123 .1 2
** Fee Detail Displayed on Next Page
Payment m ethod : Credit Card 3263
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 wo rk on the property described here in.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understan d 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 wo rk 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 Nam e: Date: -------------------------------------
Form Revised Oct 2010
City of ktColli~ Site Address: 1001 LAPORTE AVE Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2103337 Issued Full: 05/04/2021 Permit Type: Residential Water Heater Job Valuation: $2,500.00 Category: Residential Transactions Method Check Number Date Paid Credit Card CK# 3263 05/04/2021 Receipt issued: 05/04/2021 Total Paid to Date: Fee DescriQtion Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee -$65 1000.422010 TOTAL FEES: Amount Paid Commentl;i $123.12 $123.12 Fee Amount Amount Paid Date Paid $48.12 $48.12 05/04/2021 $10.00 $10.00 05/04/2021 $65.00 $65.00 05/04/2021 $123.12 $123.12 TOTAL BALANCE DUE AS OF 05/04/2021 : Amount Due $0.00 $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010
City of
~ort Collins
/ ~
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
WATER HEATER & HVAC PERMIT
APPLICATION
Application #--'-~........i-0=-0=-)$-=--)_7 __ _
Date Received 0 ā L.l ·1-0L \
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Add ress f {?DI LA '@ā?f::;,,,, AJ/4-::
Property Owner Information
Name L 64-f Ld !lo 12v~/
L tA-f2dl4-Ave<
Phone Number {y 7 tJ ;;2.. 3--Z-5Z q 3
City/State/Z ip p/-~ 4' f;:25-2{ Address / 0 (9 {
Scope of Work
0 Air Conditioner
0 Furn ace
0 Minisplit
0 Boiler
~Water Heater
0 Other
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Contractor Information
Name ~t ${ji?./-.-vf IA;(tW h-.-,l-
Company
License Holder ':=D&--.>~ ~~
Electrical Contractor Information (only required fo r new installs)
License Number __ JrlL...:..---'-\r?,__-=U-_-4_._-=S--=--------
Name ----------------------------------------------
Company License Number ME-____________ _
Rooftop O Yes O No Note For new rooftop equipment or replacements that are heavier than original, engineered documentation
needs to be provided to show roof can support equ ipment.
Equipment is same weight or lighter
Equipment is in same location
Location
OYes
OYes
QNo
QNo
Equipment is same footprint or smaller O Yes
Equipment is same height or smaller O Yes
Q No
QNo
If for a water heater or boiler in any food or beverage serving facility/Day Care/Institution occupancies, I have approval from the
Larimer County Health Department for minimum water heater capacity. 0 Yes O No
Tenant Name _________________________ _
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agre e 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.
---P~v~ rye:.(_,~':>{ A.-ki1
Print Name Signature
(_
Date J-