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HomeMy WebLinkAbout704 Ponderosa Dr - Permits/Furnace - 10/26/2012un Fort -' Collins Site Address: 704 PONDEROSA DR Job Valuation: $4,500.00 Category: Residential Owner: JUNGEN ERIC C 11667 N COUNTY ROAD 3 WELLINGTON, CO 80549 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1206485 Issued Full: 10/26/2012 Permit Type: Residential Mechanical Phone: 970-222-7239 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: Corn sq ft: _ # of stogies: Occ Group: _ Fire Sprklr: Stock plan #: _ Contractor: SWAN HEATING & AIR COND., INC. 599 W.66TH ST LOVELAND, CO 80538 Subcontractors) Mechanical: SWAN HEATING &AIR COND7_ 0 Work Description: FURNACE REPLACEMENT Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: H-1920 Phone: 970-215-5870 Supervisor cert#: j License Number ( j ] H-1920 i'�� J Li II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inspections: GIL FNM FNP FNE TOTAL FEES PAID AS OF 10/26/12: $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 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. M DOT 2 niz 1�1, n Signature: Print Name: � Cl� Date: Form Revised Oct 2010 �W� F6rt7Collins Site Address: 704 PONDEROSA DR Job Valuation: $4,500.00 Category: Residential Method Check Number Date Paid Amount Paid Trust Account 10/26/2012 $25.00 Receipt issued: 10/26/2012 Total Paid to Date: $25.00 Fee Description Account Code Fee Amount Permit Flat Fee w/o Subs $25 1000.422010 $25.00 TOTAL FEES: munity Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1206485 Issued Full: 10/26/2012 Permit Type: Residential Mechanical Comments SWAN TRUST Amount Paid Date Paid Amount Due $25.00 10/26/2012 $0.00 $25.00 $25.00 TOTAL BALANCE DUE AS OF 10/26/2012: 000) LirTll $0.00 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.