HomeMy WebLinkAbout401 S Impala Dr - Permits/Furnace - 10/10/2012Services
970.221.676o 970.224.6134 -fax
ins
Address: 401 S IMPALA DR
b Valuation: $1,768.00 Category: Residential
er: DAY VICTOR A
4829 E COUNTY ROAD 54
FORT COLLINS, CO 80524-9360
Building Permit #: B1206029
Issued Full: 10/1012012
Permit Type
Phone: 970-286-8337
Residential Mechanical
ning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
I: Subdivision/PUD: Filing #:
Ode: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Ind sq ft: _
Const Type: _
Stock plan options:
Lot #: Block #:
Basement sq ft:
ontractor: DC SHORTRIDG SBA GARY HOOLEY HTG & License #: H-1654 Supervisor cert#:
AIR
1314 WEBSTER AVE Phone: 970-493-3272
FORT COLLINS CO--80524
ubcontractor i 1 Phone License Number
lectrical: ; CREEKSIDE_,ELECTRIC`� 970-114-7170 ME=866
EGHOO 9S7093-3W1654echanical: DORD
UU H
Work Description: FURNACE;REP_LACEMENT
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 10/10/12: $25.00 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 owners 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 daysfrom the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
SHPT OCT 10 2012 Print Name: colkr Date:
$25.00 $25.00
Date Paid
TOTAL BALANCE DUE AS OF 10/10/2012
Amount Due
$0.00
$0.00
Collins
ite Address: 401 S IMPALA DR
)b Valuation: $1,768.00 Category: Residential
ransactions
970.221.676o 970.224.6134 -fax
Building Permit#: B1206029
Issued Full: 10/1012012
Permit Type: Residential Mechanical
ethod Check Number Date Paid Amount Paid Comments
-ust Account 10/10/2012 $25.00 BEN FRANK TRUST
eceipt issued: 10/10/2012 Total Paid to Date: $25.00
ee Description Account Code Fee Amount Amount Paid
armit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
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