HomeMy WebLinkAbout2721 COUNCIL TREE AVE - 236 - PERMITS - 9/3/2021 I,
Community Development& Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F6rt Collins 970.221.6760 970.224.6134 fax
Building Permit#: B2107106
Issued Full: 09/03/2021
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Permit Type: Commercial Mechanical !
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Site Address: 2721 COUNCIL TREE AVE, #236
Job Valuation: $7,366.00 Category: Commercial Remodel
Owner: RPT REALTY L P Phone: 970-226-8633 r
19 W. 44th St#1002 ' 1;
FARMINGTON HILLS, MI 48334-2501
Zoning: Front Setback: Rear Setback: Right Setback: Left Setback: f
Minor Amend#: Plat File#: ZBA Case#:
Zoning District: HC-HARMONY CORRIDOR DISTRICT 1 1
Legal: Subdivision/PUD: Filing#: Lot#: 13 Block#:
Cod e: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft: !
#of Stories: Occ Group: Const Type:
Fire Sprklr: Stock plan#: Stock plan options:
Contractor: POUDRE VALLEY AIR License#: H-835 Supervisor Cert#: 1624-H
2416 DONELLA CT#A Phone: 970-493-2050 j
FORT COLLINS, CO 80524
Subcontractor(s): License Number:
Mechanical: POUDRE VALLEY AIR 970-493-2050 H-835 I
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Work!Description: Replace RTU, same size,weight and location.
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SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394 **By Phone: 970-221-6769
Online Portal:fcgov.com/CitizenAccess !
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 9/3/2021: 236.26
***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.il 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. I
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Signature; Print Name: Date:
Form Revised July 2021
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ty of Community Development& Neighborhood Services 1
281 N. College Ave Fort Collins, CO 80522 j
F6rt
Collins 970.221.6760 970.224.6134- fax
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Building Permit#: B210710631:
Issued Full: 09/03/2021 I
Permit Type: Commercial Mechanical 1
Site:Address: 2721 COUNCIL TREE AVE, #236
Job IV;
aluation: $7,366.00 Category: Commercial Remodel
Transactions:
Method Ref Number Date Paid Amount Paid Comments
Trust Account 09/03/2021 $236.26
Total Paid to Date: $236.26
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Description Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax $141.80 $141.80 09/03/2021 $0.00
County Sales/Use Tax $29.46 $29.46 09/03/2021 $0.00 j! i
Permit Flat Fee-$65 $65.00 $65.00 09/03/2021 $0.00
TOTAL FEES: $236.26 $236.26 $0.00
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TOTAL BALANCE DUE AS OF 9/3/2021 : $0.00
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Fee amounts are valid for date of this document only. Fees subject to change without notice. I= J ii
Form Revised July 2021
City of
F6rt CollinsPERMIT
APPLICATION
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Community Development and Neighborhood Services
Application#
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740 Date Received
REQUIRED.ALL information is
Job Site Address
Address,-270/ C By n C t l 1 r-z ji /7 yiL o2 3 City/State/Zip Fizl //m,$; ed
Property Owner Information _Name / -7z> o�f �b� p�L/ Phone Number / 7d ' cUC 9633
Address/`/ l�✓r / �/ l?li��� /,690 City/State/Zip IVII tj YU /Od3
Sco e of Work
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it Conditioner �¢. a • .a z . .�, °A k n. . .
µ al
mace I� / ( 6
2.
0 Minisplit 3
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Boiler 4
5.
0 Water Heater --— -- - —
6.
0 Other 7,
Contractor Information
Name -t_ I/
Company io!" dga !✓.y//�� �i�2
License Holder ) V//9' License Number
Electrical Contractor Information (only required for new installs)
Name
Company License Number ME-
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Rooftop/,Wes 0 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 Ao4es 0 No Equipment is same footprint or smaller , Yes 0 No
Equipment is in same location es 0 No Equipment is same height or smaller '01-ks 0 No
Location R U dfz
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 0 No
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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 allroquiirements contained herein,and city ordinances and state laws regulating building o •n. I know that a permit• until it hat been paid
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Print Name(Jl) Signatur ! Date / /