HomeMy WebLinkAbout5824 Derry Dr - Permits/Furnace - 03/09/2011of
F6rtCollins
Site Address: 5724 DERRY DR
Job Valuation: $2,370.00 Category: Residential
Owner: BERG, JASON
5724 DERRY DR
FORT COLLINS, CO 80525-0000
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 97o.224.6134 -fax
Building Permit #: B1100923
Issued Full: 03/09/2011
Permit Type: Residential Mechanical
Phone: 930-394-59725
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: R & H HTG & A/C, INC
201 SMOKEY ST
FORT COLLINS, CO 80525
Subcontractors) ---- -' -,
Mechanical: R & H HTG-&-A/C, INGr-
Work Description: REPLACE EXISTING FURN
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: H-1831 Supervisor cert #:
Phone: 970-226-3619
r ? i
C
NEW FUR
License Number
❑ — — H-1831-
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/09/11: $15.00 Payment method: Check 9147
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. I understand that such permit may be
revoked in the event that issuance was based on incorect 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:
�'3/ `7 / 1 J Print Name:
Date:
Form Revised Oct 2010