HomeMy WebLinkAbout4470 S LEMAY AVE - 407 - PERMITS - 7/13/2021City of
k tColli!!:
Site Address: 4470 S LEMAY AVE, 4 07
Job Valuation: $65.00 Category: Residential
Owner: COURTNEY PARK APARTMENTS LLC
11766WILSHIRE BLVD STE 1450
LOS ANGELES, CA 90025-6538
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#: 82105450
Issued Full: 07/13/2021
Permit Type: Residential Water Heater
Phone: 970-223-3898
Right setback: ____ _ Left setback:
Minor Amend#: ______ Plat File#: _____ ZBA Case #: · ____ _
Zoning district: MMN -MEDIUM DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#: --------
Code: Res sq ft: ____ Com sq ft:
# of stories : ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: HAHN PLUMBING & HEATING
130 CHESTNUT ST
FORT COLLINS, CO 80524
Subcontractor( s)
Plumbing: HAHN PLUMBING & HEATING
Ind sq ft: ______ Basement sq ft: _______ _
Const Type: ____________________ _
Stock plan options: _________________ _
License#: MP-15 Supervisor cert#:
Phone: 970-484-7668
Phone
970-484-7668
License Number
MP-15
Work Description: Replace 40 gallon electric water heater furnished by owner.
SCHEDULE INSPECTIONS : ** via Text Message: 888-406-6394 ** By Phone : 970-221 -6769
** Onl ine Portal: fcgov .com /CitizenAccess ** Online Portal via Mobile Device: fcgov.com /CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 07/13/21: $66.51 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 .
Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
City of
k tColli~
Site Address: 4470 S LEMAY AVE, 4 07
Job Valuation: $65.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82105450
Issued Full: 07/13/2021
Permit Type: Residential Water Heater
Method Check Number Date Paid
07/13/2021
Amount Paid Comments
Trust Account $66.51
Receipt issued: 07/13/2021 Total Paid to Date: $66.51
Fee Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
Account Code
251 .122030
100.217030
1000.422010
TOTAL FEES:
Fee Amount
$1.25
$0.26
$65.00
$66.51
Amount Paid
$1.25
$0.26
$65.00
$66.51
Date Paid
07/13/2021
07/13/2021
07/13/2021
TOTAL BALANCE DUE AS OF 07/13/2021:
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address :
4470 S Lemay Ave Unit 407, Fort Collins CO 80524
2 . Property owner name:
Courtney Park Apartments
3 . Property owner address:
Street Address:: 4470 S Lemay Ave
City:: Fort Collins
State:: CO
Zip:: 80524
4. Property owner phone number:
970-223 -3898
5. Project type:
Residential
6 . What type of residential?
ApartmenVCondo
7. Value of work (Labor and Materials)($):
65.00
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:
Water Heater
10. Is this new install or a replacement install?
Replacement (New unit replacing existing unit)
11. Contractor company name :
Hahn Plumbing & Heating
12 . Contractor company address:
130 CHESTNUT ST FORT COLLINS, CO 80524
13. Contractor company phone number:
970-484-7668
14. Contractor company email:
hahn@hahnpl umbing.com
15. License number:
MP-15
16. Additional information if applicable :
Replace 40 gallon electric water heater furnished by owner.
3. Review
17. I hereby acknowledge that I have read this application and state that the above i nformation is compl ete and
correct. I agree to comply with all requirements contained herein and c ity ordinances and state laws regulating
building construction. I know that a permit is not valid until it has been paid and issued.
Signature of: DONNA FEWELL
Date Signed:
07/08/2021
18. Please include an email address to receive a confirmation and a copy of your answers.
hahn@hahnplumbing.com
4. Thank You!
Thank you for submitting. Please note that this process may take up to 72 hours to complete.
To submit another over the counter application, click here.