HomeMy WebLinkAbout924 QUEENS CT - PERMITS - 4/8/2021City of
ktColli~
Site Address: 924 QUEENS CT
Job Valuation: $4,500.00 Category: Residential
Owner: SIEK SHIN YEE
924 QUEENS CT
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Bui lding Permit#: 82102601
Issued Full: 04/08/2021
Permit Type : Residentia l Mechanica l
FORT COLLINS, CO 80525 Phone: 970-690-4698
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:
# of stories: ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: A TO z HEATING AND COOLING
200 22nd St# 3
Greeley, CO 80631
Subcontractor(s)
Mechanical A TO Z HEATING AND COOLING
Work Description: Rep lace furnace 60k 96%
Ind sq ft: Basement sq ft: --------Const Type: ____________________ _
Stock plan options: ------------------
License#: H-2169(RR)
Phone: 970-353-0315
Phone
970-353-0315
S upe rvisor cert#:
Li ce nse N umber
H-2 169 (RR)
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 04/08/21 : $169.63
** Fee Detail Displayed on Next Page
Payment method: Credit Card 2300
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perfo rm 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;_Solli~s
Community Development and Neighborhood Services
281 N College buildingservi ces@fcgov.com
Fort Collins, CO 80524 970-416-2740
WATER HEATER & HVAC PERMIT
APPLICATION
Application # l3 2162.GiO \
Date Received 4 , '6 • ZO Z\
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address qJ~ 0) )A:ef bS c±. City/State/Zip 8 . Lp//,'v,f CQ ?65L)
Property Owner l~formatt: .
Name Sh10 '1f/h S ie,,k .. Phon e Number _qc.._7_() __,-&,c_q.,_,,O'--·-_l/-_._· .....,( (l'-q.L...Sg'-------
Address g {),~ Q \/\t el'.)5 c.+ · City/State/Zip V'-t .Col /i ·\'15
Scope of Work
0 Air Conditioner
~ Furnace
0Minisplit
0 Boiler
3.
4 .
5 .
RepJ •~j
0 Water Heater
Oother
Contractor Information
6 .
7.
i
Name --'1)=-'-'e,'-'--:(-l-=..,:,.\?-_Q=...::-'"'L6,._,_1..:....:0_,_i ___ .,--____________________ _
Company _A---'--:to"-"--_ -='Z-~H-'-"(''--v\.--'--'1 f'--V\-f-g -"-'IA"'-'V\d"'---....... C...:C..oo=--l.,_,_i" Vl'-'-'~----
License Holder A -6 Z. tleA~\nq a w:J to Ii / 1 n y License Number _____________ _
Electrical Contractor Information (only required for new installs)
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 equipment.
Equipment is same weight or lighter
Equipment is in same location
Location
0Yes
0Yes
QNo
QNo
Equipment is same footprint or smaller O Yes
Equipment is same height or smaller O Yes
QNo
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 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.
l Print Name b~re..t D lA.; vTt Dat e ~ S J-l