HomeMy WebLinkAbout403 S Impala Dr - Permits/Furnace - 10/10/2012& Neiahborhood Services
970.221.676o 970.224.6134 -fax
rt Collins
ite Address: 403 S IMPALA DR
3b Valuation: $1,768.00 Category: Residential
DAY VICTOR A
4829 E COUNTY ROAD 54
FORT COLLINS, CO 80524-9360
Building Permit#: B1206030
Issued Full: 10/10/2012
Permit Type: Residential Mechanical
Phone:970-286-8337
ing: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Subdivision/PUD:
Filing #: Lot #: Block #:
e: Res sq ft: Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type:._
Fire Sprklr: Stock plan #: Stock plan options:
ontractor: DC SHORTRIDGE DBA,GARY HOOLEY HTG & License #: H-1654 Supervisor cert#:
AIR j '>
1314 WEBSTER AVE Phone: 970-493-3272
FORT COLLINS, 60-80524
ubcontractor s %' Poe License Number
lectrical: CREEKSIDE_EL'ECTRIC 970-2147170 ME=866
echanical: DC SHORTRIDGE`DB i�ARY HOO 970 493-3272 H 1654
DD
Work Description: REPLACE FURNACE _-
Basement sq ft:
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http:/Iamos.fcgov.com/CitizenAccess III
***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: Cash
" 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. 1 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.
Print Name: 0 �' _ Date: I t1 I Q- c " I oZ
F&fCollins
0 �.
Address: 403 S IMPALA DR
Valuation: $1,768.00 Category: Residential
970.221.676o 970.224.6134 -fax
Building Permit #: B1206030
Issued Full: 10/10/2012
Permit Type: Residential Mechanical
Check Number Date Paid Amount Paid Comments
10/10/2012 $25.00 BEN FRANK TRUST
pt issued: 10/10/2012 Total Paid to Date: $25.00
lescription Account Code Fee Amount Amount Paid Date Paid
Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 10/10/2012
TOTAL FEES:
$25.00 $25.00
TOTAL BALANCE DUE AS OF 10/10/2012:
Amount Due
$0.00
$0.00
0.00
r
Fee Amounts are valid for date of this document only. Fees subject to change without notice.