HomeMy WebLinkAbout520 S Grant Ave - Permits/Furnace - 11/08/2010of
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Site Address: 520 S GRANT AVE
Job Valuation: $1,750.00 Category: Residential
Owner: BRINKAMA INVESTMENTS, LLC
PO BOX 626
ARROYO HONDO, NM 87513
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007129
Issued Full: 11/08/2010
Permit Type: Residential Mechanical
Phone: 505-610-6076
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: Block #:
Ind sq. ft:
Const Type:
Stock plan options:
Contractor: PERFECT TEMP;1NC > License #: H-1931
2387 W 8TH ST,` -
LOVELAND, CO 80537 Phone: 970-663-4993
Basement sq ft:
Supervisor cert #:
Subcontractor(sj Phone License Number
L U _.
Work Description: REPLACE FURANCE -
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
(inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11/08/10: $48.25 Payment method: Credit Card
*' Fee Detail Displayed on Next Page
As a condition for the issuanceof 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: L�fja�(5 ��[// /J Date:
Form Revised Oct 2010
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,:,rt\Collins
Site Address: 520 S GRANT AVE
Job Valuation: $1,750.00 Category: Residential
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Method Check Number Date Paid Amount Paid
Credit Card 11/08/2010 $48.25
Receipt issued: 11/08/2010 Total Paid to Date: $48.25
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $26.25
County Sales/Use Tax 100.217030 $7.00
Permit Flat Fee w/o Subs $15 1000.422010 $15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007129
Issued Full: 11/08/2010
Permit Type: Residential Mechanical
Comments
PERFECT TEMP, INC.
Amount Paid
$26.25
$7.00
$15.00
TOTAL FEES: $48.25 $48.25
Date Paid
Amount Due
11/08/2010
$0.00
11/08/2010
$0.00
11/08/2010
$0.00
$0.00
TOTAL BALANCE DUE AS OF 11/08/2010: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.