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Home My WebLink About1118 CONSTITUTION AVE - PERMITS - 9/29/2021City of ktColli~ Site Address: 1118 CONSTITUTION AVE Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: Issued Full: 82107833 09/29/2021 Permit Type: Residential Water Heater Job Valuation: $1,600.00 Category: Residential Owner: CARR NATASHA 8/JOHN Q Phone: 970-218-7936 1116 CONSTITUTION AVE FORT COLLINS, CO 80521-4412 Zoning: Front Setback: Minor Amend#: Zoning District: Legal: Subdivision/PUD: Code: Res sq ft: # of Stories: Rear Setback: ____ Right Setback: Plat File#: ____ ZBA Case#: MMN -MEDIUM DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Com sq ft: 0cc Group: Filing#: __ _ Ind sq ft: Const Type: Left Setback: Lot#: Block#: ----Basement sq ft: -----------------Fire Sprklr: Stock plan #: Stock plan options: Contractor: TAFT HILL PLUMBING AND HEATING INCLicense #: MP-832 1120 North Taft Hill Rd Fort Collins, CO 80521 Subcontractor(s): Plumbing: TAFT HILL PLUMBING AND HEA Work Description: Replace water heater Phone: 970-482-8812 970-482-8812 SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394 Online Portal: fcgov.com/CitizenAccess Possible lnspec!ions Required: 300 301 302 TOTAL FEES PAID AS OF 9/29/2021: 102.20 ***Fee Detail Displayed on Next Page Supervisor Cert #: N/A -MP License Number: MP-832 **By Phone: 970-221-6769 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 July 2021 City of ktColli~ Site Address: 1118 CONSTITUTION AVE Job Valuation: $1,600.00 Category: Residential Transactions: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: Issued Full: B2107833 09/29/2021 Permit Type: Residential Water Heater Method Ref Number Credit Card 07 43 Date Paid 09/29/2021 Amount Paid Comments $102.20 Total Paid to Date: .,..$1 ___ 0 __ 2 __ .2 __ 0 ____ _ Description City Sales/Use Tax County Sales/Use Tax Permit Flat Fee -$65 TOTAL FEES: Fee Amount $30.80 $6.40 $65.00 $102.20 Amount Paid $30.80 $6.40 $65.00 $102.20 Date Paid 09/29/2021 09/29/2021 09/29/2021 TOTAL BALANCE DUE AS OF 9/29/2021 : Amount Due $0.00 $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 July 2021 !=:City of ~tCollins Planning, Development, & Transportation Services Community Development & Neighborhood Services 281 North College Avenue Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). □ Air Conditioning □ Demolition (interior non-structural) □ Electrical Alteration (not service change) □ Gas Lighter □ Gas Log □ Heating Unit □ Lawn Sprinkler □ Mobile Home replacement □ Roofing □ Sewer Line □ Photo-voltaic □ Ventilation GiCWater Heater □ Water Line □ 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# 'B 'Z,\01"b'3J Date CJ:-J,7-J.. / For office use only Job Site Address (required) Value of Construction (labor, materials, profit) {J_ ,·7..;t,'0,1 Property Owner Name :So1L,,, Applicant Name :SC, 'I-' Contractor ;4,.,,, rrc. Address 'J.? i> ?>;:x J;,;z Address //J.o,,v 74,CT ,//r·1d/ Address P-/hlr /+II /;do,,,;, 7/f P1'1/,'1")1/ #'; {.,, d',.i_ --City/State Zip Phone /J--r ;f o,.£1),. 7):> ~ I Y 77.3 (c, City/State Zip Phone ffC LO ?o.s:.v 7'") 0 i' / :> 0 C, c.Z City/State Zip Phone ff G/!t_:.1 Ct; ',?cs ~I '7')08'I;:;, 6blhl Contractor City of Ft. Collins Sales Tax # Sales tax number is required by all contractors. Are you paying taxes here or by report? □ Here JB, Report Are you paying with your trust account? □ Yes □ No Is this a residential or commercial project? Ii'! Residential □ Commercial If residential, is it: □ Single Family Detached □ Condo/townhome (single family attached) )!!( Duplex □ Multifamily (apartment) □ Garage If commercial, is it: □ Bank □ Bar □ Church □ Hotel/Motel □ Medical office □ Office □ Retail □ Restaurant □ Other (explain) ________________ _ Is this building 50 years of age or more? D Yes !&,No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? ______________ _ Description of work 0,t-Tec 1,,-,..--/j_r CeU44:e,,-_;:;-' *If lawn sprinkler/backfiow 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 # Electrician ______ _ Plumber ______ _ Mechanical ______ 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: ......., . ./ , , ~~-'9 , .., / Print Name: ..J e rr u;-r )Jl,,--Signature ~ Date -o,1'5 -""( :9' 1/ Revision date>l:2/6/2017