HomeMy WebLinkAbout2643 Pampas Dr - Permits/Furnace - 03/16/2011Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.6760 970.924.6134 -fax
Building Permit #: B1101033
Issued Full: 03/16/2011
Permit Type: Residential Mechanical
Site Address: 2643 PAMPAS DR
Job Valuation: $ 4,750.00 Category: Residential
Owner: CORDSEN, JAMES A/EILEEN R
PO BOX 400
TIMNATH, CO 80547-0400 Phone: NONE
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: HAHN PLUMBING &
HEATING
130 CHESTNUT ST
FORT COLLINS, CO
80524
Subcontractoos)-- —
Plumbing: HAHN PLUMBING &-HEATING i
Work Description: FURNIACE REPLACEMENT -
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-15 Supervisor cert #:
Phone: 970-484-7668
TOTAL FEES PAID AS OF 03/16/11: $15.00 Payment method: Trust Account
License Number
E --AMP 15..
./
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.
Signature: ? 11 1-7/ l/ Print Name:
Date:
Form Revised Oct 2010