HomeMy WebLinkAbout825 E Elizabeth St - Permits/Mechanical - 12/15/2010of
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Site Address: 825 E ELIZABETH ST
Job Valuation: $5,780.00 Category: Residential
Owner: RUBIN, LINDA D
820 COUNTRY CLUB RD
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007907
Issued Full: 12/15/2010
Permit Type: Residential Mechanical
Phone: 970-412-2520
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW 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: FORT COLLINS.HEATING &AIR License #: H-1309 Supervisor cert#:
217 RACQUETTE DR#7 , , ` i ,;",` I
FORT COLLINS, CO 80524' Phone: 970-484-4552
Subcontractor{ j = � �` �� Phone � License Number
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Work Description: REPLACE FLOOR FURNACE AND-RINNAI WATER HEATER
Basement sq ft:
** SCHEDULE INSPECTIONS . `*�' By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Ilnspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/15/10: $30.00 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 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.
RECEIVED
DEC 15 20ii� Signature: Print Name:CON-
1 Date:
Form Revised Oct 2010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007907
Issued Full: 12/15/2010
Permit Type: Residential Mechanical
Site Address: 825 E ELIZABETH ST
Job Valuation: $5,780.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 12/15/2010
Receipt issued: 12/15/2010 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000.422010
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
Amount Paid Comments
$30.00
FORT COLLINS HEATING AND AIR TRUST
$30.00
Fee Amount
Amount Paid Date Paid Amount Due
$15.00
$15.00 12/15/2010 $0.00
$15.00
$15.00 12/15/2010 $0.00
$30.00 $30.00
$0.00
TOTAL BALANCE DUE AS OF 1215I2010: 0.00
LIL,
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.