HomeMy WebLinkAbout412 Butch Cassidy Dr - Permits/Furnace - 11/02/2011of
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Site Address: 412 BUTCH CASSIDY DR. A-C
Job Valuation: $4,500.00 Category: Residential
Owner: CARE HOUSING/GREENBRIAR 1
1303 W SWALLOW RD UNIT 11
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fox
Building Permit #: B1109962
Issued Full: 11/02/2011
Permit Type: Residential Mechanical
Phone:416-2910
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: AIR COMFORT, INC.
150 ROME CT
FORT COLLINS, CO 80524
Subcontractor(s
Mechanical: AIR COMFORT, INC..
Work Description: UNIT A- REPLACE FURNACE
UNIT B-REPLACE FURNACE
UNIT C-REPLACE FURNACE _
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type:
Stock plan options:
License #: H-1321
Phone: 970-490-1458
/;Phone
970-490-1458_-
,
Basement sq ft:
TOTAL FEES PAID AS OF 11/15/11: $149.63 Payment method: Check 11285
" Fee Detail Displayed on Next Page
Supervisor cert #:
License Number
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Asa 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 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.
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Print Nam ��� C �1 �l ate: /
orm Revised Oct 2010
10ty of
Fort Collins
Site Address: 412 BUTCH CASSIDY DR, A-C
Job Valuation: $4,500.00 Category: Residential
Transactions
Check CK#11285 11/15/2011 $149.63
Receipt issued: 11/15/2011 Total Paid to Date: $149.63
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $86.63
County Sales/Use Tax 100.217030 $18.00
Permit Flat Fee w/o Subs $15 1000.422010 $45.00
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134-fax
Building Permit #: B1109962
Issued Full: 11/02/2011
Permit Type: Residential Mechanical
Comments
paid by Air Comfort ck#11285
Amount Paid Date Paid Amount Due
$86.63 11/15/2011 $0.00
$18.00 11/15/2011 $0.00
$45.00 11/15/2011 $0.00
TOTAL FEES: $149.63 $149.63 $0.00
TOTAL BALANCE DUE AS OF 11/15/2011: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010