HomeMy WebLinkAbout1643 Greenstone Trl - Permits/Furnace - 01/05/2010City of
F6rt Collins
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Site Address: 1643 GREENSTONE TRL
Job Valuation: $2,403.30 Category: Residential
Owner: MASS, CARRIE S/OTHA C, JR, TRUSTEES
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1100073
Issued Full: 01/05/2011
Permit Type: Residential Water Heater
1643 GREENSTONE TRL
FORT COLLINS, CO 80525 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Ind sq ft:
Const Type:
Stock plan options:
Contractor: POUDRE VALLEY -AIR License #: H-835
2416 DONELLA GT #A
FORT COLLINS,�C0 ,80524 i Phone: 970-493-2050
Subcontractors{s)
Mechanical: POUDRE-VALLEY Al
Work Description: REPLACE FURANCE- /
Basement sq ft:
Supervisor cert #:
i License Number
i H-835
Li
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Ilnspections: FNP FNE FNM
TOTAL FEES PAID AS OF 01/05/11: $15.00 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 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. 1 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 pemdt is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such pemmit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
F "' '*•'n52011
Signature:
Print Name:
Date:
Form Revised Oct 2010
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Site Address: 1643 GREENSTONE TRL
Job Valuation: $2,403.30 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 01/05/2011
Receipt issued: 01/05/2011 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
Amount Paid
$15.00
$15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #: B1100073
Issued Full: 01/05/2011
Permit Type: Residential Water Heater
Comments
Fee Amount Amount Paid Date Paid
$15.00 $15.00 01/05/2011
$15.00 $15.00
TOTAL BALANCE DUE AS OF 01105/2011:
Amount Due
$0.00
$0.00
0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.