HomeMy WebLinkAbout3738 Cosmos Ln - Permits/Air Conditioner - 02/28/2011City, of
F6rt Collins
Site Address: 3738 COSMOS LN
Job Valuation: $2,600.00 Category: Residential
Owner: KIRKHAM, BRETT H/ALICIA
3738 COSMOS LN
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131100781
Issued Full: 02/28/2011
Permit Type: Residential Mechanical
Phone: 903-563-0773
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories
Fire Sprklr:
Corn sq ft:
Occ Group:
Stock plan #:
Contractor: CERTIFIED MECHANICAL, LLC.
2217 SW 6TH ST
LOVELAND, CO 80537
Subcontractors)---- -
Mechanical ( CERTIFIED-MECHANICAL-„LLCL
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l_J
Work Description: INSTALL A/C
Filing #: Lot #: 218 Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: 11-1994
Phone: 970-222-3109
Basement sq ft:
Supervisor cert #:
-Phone �
970-222-3109- -
License Number
„---H-1994- -
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 02/28/11: $75.45 Payment method: Check 1877
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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 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:
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Print Name: � J-4-
Date: 'Z
Forrif Revised Oct 2010
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Site Address: 3738 COSMOS LN
Job Valuation: $2,600.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 1877 02/28/2011
Receipt issued: 02/28/2011 Total Paid to Date
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
Amount Paid
$75.45
$75.45
Community Development & Neighborhood Services
281 N. College Ave, Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1100781
Issued Full: 02/28/2011
Permit Type: Residential Mechanical
Comments
CERTIFIED MECHANICAL CK#1877
Fee Amount
Amount Paid
$50.05
$50.05
$10.40
$10.40
$15.00
$15.00
$75.45 $75.45
Date Paid
Amount Due
02/28/2011
$0.00
02/28/2011
$0.00
02/28/2011
$0.00
$0.00
TOTAL BALANCE DUE AS OF 02/28/2011: 0.00
i
ti t
E ,
Fee Amounts are valid for date of this document only. Fees subject to change without notice.