HomeMy WebLinkAbout2715 RIGDEN PKWY - 05 - PERMITS - 9/22/2021! I
City of
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Community Development & Neighborhood Services': j
281 N. College Ave Fort Collins, CO 80522/!
970.221.6760 970.224.6134 -fax !
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Issued Full: 09/22/2021
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Building Permit#: 8210762~
I:' 11• I ll' Permit Type: Residential Water Heate r J ii ,,
Site Address: 2715 RIGDEN PKWY, #5 I .
Jo~ }taluation: _$_90_0_._0_0 ____ Category: Residential 01~r: ARNST AD RY AN a . · 2253 ULMUS DR
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, LOVELAND, co 80538-3947
Zo ing: Front Setback:
Minor Amend#: -------
Ph one: 970-988-4473
Rear Setback: ___ Right Setback Left Setback: '
Plat File #: ___ ZBA Case #. ~ j
LMN -LOW DENSITY MIXED-USE NE IGHBORHOOD DISTRICT . j
Legal: Fi ling #: Lot#: 9...__ Block#· i; 11
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11 ,1 Code:
Zoning District·
Subdivision/PUD
Res sq ft:
# of Stories·
Fire Sprklr:
Com sq ft:
0cc Group:
Ind sq ft : Basement sq ft ,
-_____ .':,, Const Type· -----
Stock p lan #:
Contractor: AMERICAN HEATI NG PL UMBI NG &
ELECTRIC SERVICE INC
Stock plan options , I
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License#: MP-315 Supervisor Cert#: NIA -MP i:/: 1 ,·,
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2616 E. Vine St. Phone: 1 I
J I j FORT COLLINS, CO 80524
Sub ontractor s :
AMERICAN HEATING PLUMB ING
Work Description: Replace Rheem 40 gallon water heater.
SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394
; Online Portal: fcgov.com/CitizenAccess
Pds~1ib le Inspections Required: 300 30 1 302
\c )1 :\L FEES PAID AS OF 9/22/2021: 85.9 3
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License Number:
MP -3 15
**By Phone: 970-221-6769
F1;1e 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 p erform the proposed work on the
property described herein. I agree to comply with all the requirements contained herein. and City ordinances. and Sl ate laws associated with sucl1
work. I understand that such permit may be revoked in the event that issuance was based on incorrect inforrnation. This permit shall become null and
void 11 tt1e wor k authorized by such permit is not commenced , suspended, abandoned or not inspected w it11in 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
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Form Revised July 2021 I!
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City of Fort Collins __,.,.,,...
Site Address: 2715 RIGDEN PKWY, #5
Job Valuation: $900.00 Category: Residential
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Tratisactions:
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Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 805221
970.221.6760 970.224.6134 -fax /
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Building Permit#:
Issued Full:
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B2107620;J
09/22/2021
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Permit Type: Residential Water Heate1
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-M t 'od Ref Number
C epk 2260
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Date Paid
09/22/2021
Amount Paid Comments
$85 .93
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T tal Paid to Date: =$-=--85~·-=--93;a.._ __ _
Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
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TOTAL FEES:
Fee Amount
$17.33
$3.60
$65.00
$85.93
Amount Paid
$17.33
$3.60
$65 .00
$85.93
Date Paid
09/22/2021
09/22/2021
09/22/2021
TOTAL BALANCE DUE AS OF 9/22/2021 :
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
Fee amounts are valid for date of this document only. Fees subject to change without notice.
Form Rev ised July 20 21
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City of
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Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
WATER HEATER & HVAC PERMIT
APPLICATION
Application #
Date Received
g "L \ 01 \9'2.0
0\ /1,,'l., '2.01., \
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address o( 7! 5' Z7Je.ii ~pk:uzo.,; l/11~-\-*.S:: City/State/Zip _,,,lJJ=-$;_;;\:S_-____ _
Prope~r Inform lion
Name~'~,._,_,---++'""""',....,.+='"'-"'--,.-------Phone Number Vo -2ltZ-. 'ti/-73
City/State/Zia :;l/Co)~i;,y J GO £ti s;l:{°'
Scope of Work
0 Air Conditioner
0 Furnace
QMinisplit
OBoiler
• Water Heater
0 Other
Contractor Information -t-
4.
5 .
6.
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Name ~17,4-/2.I' L. 0 O hf$
Company/YJ@JI 4.-. J/ed-, ':rf?/,roi,"J ;t;/2.v f
License Holder /..,,..,qn44 .L L 'dcm'" ~ License Number @f. ¢)D \<j(5 4-7 / ;
Electrical Contractor Information (only required for new installs)
Name---------------~-----------------------------
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
OYes
OYes
QNo
ONo
Equipment is same footprint or smaller O Yes
Equipment is same height or smaller O Yes
QNo
ONo
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.