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Home My WebLink About2057 VERMONT DR - PERMITS - 8/2/2021 (2) ® Community Development&Neighborhood Services o�t 281 N. College Ave Fort Collins, 4 -f xCollins 970.221.676o g7o.224.61618 -fax � Building Permit#: B2106132 Issued Full: 08/02/2021 Permit Type: Commercial Mechanical Site Address: 2057 VERMONT DR Job Valuation: $4,715.00 Category: Prof Office & Pers Svcs Owner: FORNEY INDUSTRIES INC 2057 VERMONT DR FORT COLLINS, CO 80525 Phone: 800-521-6038 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend#: Plat File#: ZBA Case#: Zoning district: E-EMPLOYMENT DISTRICT Legal: Subdivision/PUD: Filing#: Lot#: Block#: Code: 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#: 2416 DONELLA CT#A FORT COLLINS, CO 80524 Phone: 970-493-2050 Subcontractor(s) Phone License Number Mechanical: POUDRE VALLEY AIR 970-493-2050 H-835 Work Description: Replace #4 of 5 RTU's 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 08/02/21: $174.62 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. Signature: Print Name: Date: Form Revised Oct 2010 CRYof Community Development&Neighborhood Services 6rt Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B2106132 Issued Full: 08/02/2021 Permit Type: Commercial Mechanical Site Address: 2057 VERMONT DR Job Valuation: $4,715.00 Category: Prof Office & Pers Svcs Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 08/02/2021 $174.62 Receipt issued: 08/02/2021 Total Paid to Date: $174.62 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $90.76 $90.76 08/02/2021 $0.00 County Sales/Use Tax 100.217030 $18.86 $18.86 08/02/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 08/02/2021 $0.00 TOTAL FEES: $174.62 $174.62 $0.00 TOTAL BALANCE DUE AS OF 08/02/2021: 10.00 i Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 l a ty of Planning, Development&'Transportation • 281 N. College Ave P.O. Box 580 &t Collins Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only(check all that apply). Jir Conditioning ❑ Demolition(interior non-structural) ❑ Electrical Alteration (not service change) ❑Gas Light r ❑Gas Log Heating Unit ❑ Lawn Sprinkler ❑Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo-voltaic ❑ Ventilation ❑Water Heater ❑Water Line O' Wood/Pellet Stove(must be EPA certified,provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application # Date For office use only Job Site Address (required) Value of Construction (labor, materials, profit) as yLigmamr Property Owner Name Address City/State Zip Phone v raS"„- Af10-S—J1-K83S-' Applica t Name Address City/State Zip Phone 1q z,% Y4-1`� An 2 Y/6 'FaXT ro `n -f o ens z % Contractor Lic# Address City/State Zip Phone Contractor City of Ft. Collins Sales Tax# Are you paying taxes here or by report?Here ❑ Report Sales tax number is required bya//wnbactors Are you paying with your trust account? ❑ Yes /,VNo Is this a residential or commercial project? ❑ Residential Commercial If residential, is it: ❑Single Family Detached 0 Condo/townhome(single family attached) ❑ Duplex ❑ Multifamily(apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel .❑ Medical office Aloffice ❑ Retail ❑ Restaurant ❑ Other.(explain) Is this building 30 years of age or more? ❑Yes )Oo If yes,you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? If prior to 1975,you will need an asbestos assessment to submit wr[fi this appllcalfon. Description of work iu--J,aer /,-PX,0 l d'r / i1 Tyf O�jr v *If lawn sprinkler/backflow preventer,must list licensed plumber. If first-time A/C,must list licensed electrician. Subcontractors: List the company name or City of Ft Collins license 0 Electrician Plumber Mechanical P V/4 Roofer Other 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. Applicant: r/,/ / � �' _ Print Name:k, j rl�,�fl;4 Signa a Date o2 0 .2 / ta �¢ Community Development & Neighborhood Services } �t 281 North College Avenue ` EVthns Fort Collins, CO 80524 970.416.2740 Over the counter Permit info sheet for,• /Vew and rev/acement hvac roof-tome c�i melt. furnaces, and water heaters The following information must be included,to approve the permit. Check all that apply. 1. Roof-top equipment and furnaces: Replacement of existing equipment. ❑ New/additional-roof-top equipment. Equipment is the same weight or lighter and similar or smaller size/footprint. ❑ Equipment is heavier and will provide engineered documentation showing roof can support new equipment or modifications that must be done to support such equipment. Replacement equipment is in the same location and not taller than previous. ❑ Replacement equipment is in new location and/or taller. ❑ For New equipment. See attached engineered documentation showing roof can support new equipment or modifications that must be done to support such equipment. ❑ Ground or floor mounted. 2. Hot Water Heater: ❑ Replacement ❑ New ❑ Same size or smaller than previous. ❑ Larger than previous water heater. ❑ If for a restaurant I have approval from Larimer County Health Dept for minimum water heater capacity. I All equipment/appliances must be installed in compliance with 2009 IMC, IFGC, IPC, and 2011 NEC. 0-2/ Applicant signature and date (Form updated 1-18-2013)