HomeMy WebLinkAbout417 Maple St - Permits/Furnace - 02/07/2013 (2)City of
�,.F`rt Collins
Site Address: 417 MAPLE ST
Job Valuation: $1,500.00 Category: Residential
Owner: DONALD LLOYD A
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1300560
Issued Full: 02/07/2013
Permit Type: Residential Mechanical
621 E FIRST ST
PUEBLO, CO 81001 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing M
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: LONGS PEAK ENERGY CONSERV
PO BOX 471
BOULDER, CO 80306
SubcontractoF(s)___]
Mechanical: LONGS PEAK ENERGY CONSERV
Fr -
O
Work Description: Install 45,000 BTU furnace
Ind sq ft: _
Const Type:
Stock plan options:
License #: H-1422
Phone: 720-864-6403
Lot M Block #:
Basement sq ft:
Supervisor cert #:
License Number
H-1422
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 02/07/13: $25.00 Payment method: Trust Account
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror 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 assoaated with such work. I understand that such permit may be
revoked in the event that issuance was based on incortect 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.
Signature: 6W&.;t ;2Fv t cicaM. Print Name: er)Lv,v^d /iAlct eooiv Date: )A'�/_3
Form Revised Oct 2010
arof
t Collins
Site Address: 417 MAPLE ST
Job Valuation: $1,500.00 Category: Residential
Transactions
Trust Account 02/07/2013 $25.00
Receipt issued: 02/07/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1300560
Issued Full: 02/07/2013
Permit Type: Residential Mechanical
Amount Paid Date Paid
$25.00 02/07/2013
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 02107/2013:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
0.00
Form Revised Oct 2010