HomeMy WebLinkAbout2831 TEAL EYE CT - PERMITS - 9/13/2021City of Community Development & Neighborhood Services
281 N . College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax ~ort Collins
~ Building Permit#: 82107257
09/13/2021 Issued Full:
Permit Type: Residential Water Heater
Site Address: 2831 TEAL EYE CT
Job Valuation: $1,600 .00 Category: Residential
Owner: SCHAEFER MICHAE L J/BERY L S Phone 970-481-3666
2831 TEAL EYE CT
FORT COLLINS, CO 80526
Zoning: Front Setback.
Mino, Amend#
Rear Setback:
Plat Fil e#:
Zoning District RL -LOW DENSITY RESIDENTIAL DISTRICT
Right Setback
ZBA Case#
Left Setback:
Lega l: Subdivision/PUD
Code: Res sq ft
Fil ing#: __ _ Lot# Block#: ----
Ind sq ft Basement sq ft: -----
# of Stones
Fire Sp rklr:
Com sq ft:
0cc Group: -----Const Type: ________________ _
Stock plan# _____ Sto ck plan options
Contractor: TAFT HI LL PLUMBING AND HEATING INCLicense #: MP-832
1120 North Taft Hill Rd
Fort Co llins, CO 80521
Subcontractor( s):
Plumbing: TAFT HI LL P LUMB ING ANO HEA
Work Descri ption: Replace 50 gallon , na tural gas water heater.
Phone: 970-482-8812
970-482-88'12
SCHEDULE INSPECTIONS : **via T ext Message: 888-406-6 394
Online Po rtal : fcg ov .com /Cit izenAc cess
!Possible Inspections Requ i re d 300 301 30 2
Supervisor Cert#: NIA -MP
License Number:
MP-832
**By Phone : 970-221 -6769
TOTAL FEES PAID AS OF 9/13/2021: 102.20
'**Fee Detail Displayed on Next Page
As c1 condition for the issuance of a permit. I hereby declare that I am the owner or owner's agent. authorized to perform tl~e proposed work on tl1e
prorerty described herein. I agree lo comply with all the requ irements contained herein. a nd City ordinances . and Sta te laws assoc1 atecl with such
work I understand that such permit may be revoked in the event that issuance was based on incorrect in formati on This permit shall become null ancl
void 1f the work authorize d by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Ala rm require d within 15 f eet of each be droom e ntra nce.
Signature: Print Name: Date: -----------------------------· Form Revised July 20 2 1
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Site Addres s : 2831 TEAL EYE CT
Job Valuation : $1,600 .00 Category: Residential
Transacti ons:
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Community Development & Neighborhood Services ' , t.,
281 N . College Ave Fort Collins, CO 80522 i
970.221 .6760 970.224 .6134 -fax
Building Permit#:
Issued Full:
82107257
09/13/2021
Pe rmit Ty pe: Residential Water Heater
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Method Ref Number
C red it Card 0743
Date Paid
09/13/2021
Amount Pa id Comments
$102 .20
Total Paid t o Date: $102.20
Descri[!tion Fee Amount A mount Paid Date Paid Amount Due
Ci t y Sales/Use Tax $30.80 $30.8 0 09 /13/2 021 $0.00
County Sales/Use Tax $6.40 $6.40 09/13/2021 $0 00
Permit Flat Fee -$65 $65 .00 $6 5.00 09/13/2021 $0 .00
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TOTAL FEES: $102.20 $102.20 $0.00
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TOTAL BALANCE DUE AS OF 9/13/2021 : $0.00 : I
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Fee amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised July 2021
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Cityof
k~oJli~
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
WATER HEATER & HVAC PERMIT
APPLICATION
Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address Jf:.,I fa,a-l Ey.: ~r
Property Owner Information /
Name ,,A;;-J..ey,f' Sc., 1\4 rh IL
Address _S 4 e:
Scope of Work
0 Air Conditioner
0 Furnace
0 Minisplit
OBoiler
~ Water Heater
0 Other
Contractor Information
Name -::::S-c f?(-&r ,,,.. /tv,..,,,
Company "7'A;/?1 /j. '// rt-/1
License Holder ✓ :t',/2C-c::;, c/f-;, ,1
3.
4.
5.
6.
7.
Electrical Contractor Information (only required for new installs)
City/State/Zip ffC/ / J·,., .>
Phone Number 7 ?a 'rJ I 3'4>'-l,
City/State/Zip ---"'$"',4'-'-'-~--'--'e...=------
License Number /"1 f' ff >,J,
Name---------------------------------------------
Company 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.
Print Name Date