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HomeMy WebLinkAbout400 JACKSON AVE - PERMITS - 3/23/2021 (2)Owner:RUSNAK MICHAEL P 400 JACKSON AVE FORT COLLINS,CO 80521 Phone:317-457-9414 Zoning:Front setback:Rear setback:Right setback:Left setback: Minor Amend #:Plat File #:ZBA Case #: Zoning district:NCL -NEIGHBORHOOD CONSERVATION -LOW DENSITY 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:ALLEN PLUMBING &HEATING 101 S LINK LANE FORT COLLINS,CO 80524 License #:H-871 Phone:970-484-4841 Supervisor cert #: Subcontractor(s)Phone License Number Mechanical:ALLEN PLUMBING &HEATING 970-484-4841 H-871 Work Description:Replace air conditioner (second system being replaced,not a duplicate of B2004526). 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 03/23/21:$273.79 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 #:B2102086 Issued Full:03/23/2021 Permit Type:Residential Mechanical Site Address:400 JACKSON AVE Job Valuation:$8,980.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 03/23/2021 $273.79 Receipt issued:03/23/2021 Total Paid to Date:$273.79 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $172.87 $172.87 03/23/2021 $0.00 County Sales/Use Tax 100.217030 $35.92 $35.92 03/23/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/23/2021 $0.00 TOTAL FEES:$273.79 $273.79 $0.00 TOTAL BALANCE DUE AS OF 03/23/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2102086 Issued Full:03/23/2021 Permit Type:Residential Mechanical Site Address:400 JACKSON AVE Job Valuation:$8,980.00 Category:Residential Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1.Job site address: 400 Jackson Ave, Fort Collins, Colorado 80521 2.Property owner name: Michael / MaryKate Rusnak 3.Property owner address: Street Address: : 400 Jackson Ave City: : Fort Collins State: : Colorado Zip: : 80521 4.Property owner phone number: 317-457-9414 5.Project type: Residential 6.What type of residential? Single Family Detached 7.Value of work (Labor and Materials)($): 8980.00 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: Air Conditioner 10.Is this new install or a replacement install? Replacement (New unit replacing existing unit) 11.Contractor company name: Allen Plumbing and Heating 12.Contractor company address: 101 S Link Lane, Fort Collins, Colorado 80524 13.Contractor company phone number: 970-494-7632 B2102086 3/23/2021 1 4. Contrac tor company email: christina @all enph.com 1 5. Lic ense number: H-87 1 3. Review 1 7. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating building construction. I know that a perm it is not valid until it has be en paid and issue d. Signa tu re of: C hristina Eva ns Date Signed: 0 3/19 /2 021 1 8. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers. christina @all enph.com 4. Thank You! Thank you for submitting your a pplication for pr ocess ing. To submit a nother over the counte r a pplica tion, click here.