HomeMy WebLinkAbout2857 Brumbaugh Dr - Permits/Mechanical - 09/22/2009Ft of
Site Address 2957 BRUMBAUGH DR
Job Valuation $7,886 00 Category Residential
Owner MEIS CLARENCE D/CYNTHIAA
2957 BRUMBAUGH DR
FORT COLLINS CO 80526 6231
Zoning Front setback Rear setback
Zoning district RL Plat File #
Legal Subdivision/PUD
Code Res sq ft
# of stories
Stock plan #
Neighborhood & Building Services
281 N College Ave Fort Collins CO 80522 058o
Phone 970 221-676o Fai 970 224 6134
BUILDING PERMIT # B0905855
Issued Full 09/22/2009
Permit Type Residential Mechanical
Phone
_ Right setback
ZBA Case #
Filing # Lot #
Com sq ft Ind sq It
Occ Group Const Type
Contractor CERTIFIED MECHANICAL LLC
2217 SW 6TH ST
LOVELAND CO 80537
Subcontractors)
Electrical —HANNA ELECTRIC r7
Mechanical CERTIFIED MECHANICAL LLCM
Stock plan options
License It H 1994
Left setback
Minor Amend #
Block #
Basement sq ft
Supervisor cert #
Phone 970 222 3109
Phone
�:970-482 3289
970 222 3109
C �\
Work Description REPLACE FURNACE AND AIR CONDITIONER
License Number
ME 750
F� H 1994�
�` ^, %
II ** SCHEDULE INSPECTIONS *** By Phone 221-6769 *** By Web http //aaweb fcgov com/CltlzenAccess** II
GL FNM FNP FNE
TOTAL FEES PAID AS OF 09/22/09
Fee Detail Displayed on Next Page
179 83 Payment method Check 1533
As a condition for the issuance of a permit I hereby declare that I am the owner or owner's 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
Signature Print Name Gi/-'✓1/ /�''i��%�Date �2 J O G
Form Rev d Oct 2008
Fart of
Neighborhood R Building Services
281 N College Ave Fort Collins CO 80522 0580
Phone 970-221 676o Fax 970 224 6134
BUILDING PERMIT # B0905855
Issued Full 09/22/2009
Permit Type Residential Mechanical
Site Address 2957 BRUMBAUGH DR
Job Valuation $7,886 00 Category Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 1533 09/22/2009 $179 83 PAID BY CERTIFIED MECHANICAL CK #1533
Receipt issued 09/22/2009 Total Paid to Date $179 83
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251 122030 $118 29 $118 29 09/22/2009 $0 00
County Sales/Use Tax 100 217030 $31 54 $31 54 09/22/2009 $0 00
Permit Flat Fee w/o Subs $15 1000 422010 $30 00 $30 00 09/22/2009 $0 00
TOTAL FEES
$179 83 $179 83
$0 00
TOTAL BALANCE DUE AS OF 09/22/2009 0 00
Fee Amounts are valid for date of this document only Fees subject to change without notice