HomeMy WebLinkAbout2742 Coal Bank Dr - Permits/Mechanical - 05/08/2006Community Planning &Environmental Services
PERMIT FEES
Building & Inspections Division BUILDING
� � �� � H � PERMIT'
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
city of Fort coins phone (970) 221-6760 Fax (970) 224-6134 B a 6 0 2 1 0 3
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 2742 COAL BANK DR
PERMIT DATE
05/L;8; L00�,
Building Kermit w/o Subs
$15.
0 5/8/06
PERMIT
TYPE PERMIT LEVEL
MECH Mechanical Alteration ISSU_FUL
CATEGORY TYPE
Residentia
City Sales/Use Tax
County Sales/Use Tax
$34.
$9.
8 5/8/06
0 5/8/O6
Last Name, First, Middle Initial
HALLEY, KENNETH L/
Construction Type
Occupancy Group
Z
3
Address City/State
2742 COAL BANK DR FORT COLLINS, CO
Wp No. of Stories
O
V
Building Height
ZiP Phone No.
8Q525 225-9254
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Z
Z
Right Side Setback Left Side Setback
• • • •
N
Plat File No.
(See reverse side for Inspection Description)
G L F N M
ZBA Case Number Zoning District
Subdivision/PUD Filing
Q
wLot
Block Lot Area Parcel No.
4 8729407036
Company Name Contractor License No.
AMERICAN AIR HTC & A/C H 1729
O
Q
Address
918 CLYDESDALE IN
City/State
WINDSOR CO 8055
a'
Phone Supervisor Cert. No.
u 686 6086
V
Electrical License No.
WIRED ELECTRIC CO THE ME 799
Mechanical
AMERICAN AIR HTC 6 A/C
License No.
H 1129
pe
Roofing
License No.
F—
OFraming
License No.
V
Plumbing
License No.
h
Concrete
License No.
ADD A/C TO EXISTING FURNACE 3 TON SYSTEM
F—
As a
condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
Print
TOTAL FEES
$59.1