HomeMy WebLinkAbout743 Blue Mountain Dr - Permits/Furnace - 12/27/2013of
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Site Address: 743 BLUE MOUNTAIN DR
Job Valuation: $2,870.00 Category: Residential
Owner: CHAFFIN JOYCE A
4129 RYAN LN
RICHARDSON. TX 75082
Zoning: Frontsetback:
Minor Amend #:
Zoning district:
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134_- fax
Building Permit #: B1306658
Issued Full: 12/27/2013
Permit Type: Residential Mechanical
Phone:970-382-4371
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #:
RL - LOW DENSITY RESIDENTIAL DISTRICT
Com sq ft:
Occ Group:
Stock plan #:
Contractor: CERTIFIED MECHANICAL, LLC.
2137 PRIMROSE DR
FORT COLLINS, CO 80526
Subcontractors)
Mechanical: CERTIFIED MECHANICAL, LLCI
F7P a]
Work Description: Replacefurnace
Filing M Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: H-1994
Phone: 970-222-1317
Basement sq ft:
Supervisor cent #:
Phone 1 -,
970-222-1317 � I
License Number
H-1994
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fegov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/27/13: $88.86 Payment method: Check 3731
** 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 penult 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.
Signatur Print Name` "-
4 " M�to Date:
J2-27—/�
Form Revised Oct 2010
,F`o�rt� Collins
Site Address: 743 BLUE MOUNTAIN DR
Job Valuation: $2,870.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1306658
Issued Full: 12/27/2013
Permit Type: Residential Mechanical
Check CK# 3731 12/27/2013
$88.86
Paid by Certified Mechanical LLC Jason R Tryon Darren
Denomme check #3731
Receipt issued: 12/27/2013 Total Paid to Date:
$88.86
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$55.25
$55.25
12/27/2013
$0.00
County Sales/Use Tax 100.217030
$8.61
$8.61
12/27/2013
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
12/27/2013
$0.00
TOTAL FEES:
II�__
\-I0�i j
$88.86 $88.86
$0.00
TOTAL BALANCE DUE AS OF 12/27/2013: 0.00
l
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010