HomeMy WebLinkAbout1940 Larkspur Dr - Permits/Mechanical - 11/25/2011F,`rfCollins
Site Address: 1940 LARKSPUR DR
Job Valuation: $171.30 Category: Residential
Owner: TERRY L/RUTH A TRUSTEES
42171DLEDALE DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1110715
Issued Full: 11/25/2011
Permit Type: Residential Plumbing
Zoning: Frontsetback: Rear setback: Right 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: AMERICAN
AIR HTG & A/C
561 E.
GARDEN DR UNIT F
WINDSOR, CO 80550
Subcontractors)
Mechanical:
AMERICAN AIR HTG & A/C
Left setback:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type:
Stock plan options:
License #: H-1729
Phone:970-686-6086
Phone
970-686-6086
Work Description: REPLACE BOILER --ADD HOT WATER MAKER.
e,
Basement sq ft:
Supervisor cert#:
License Number
H-1729
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 11/25/11: $19.00 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. 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 Moi}" Q�{v rQgtµre�)grjt,{tin 15 feet of each bedroom entrance.
CLII�D��„�IT�r ((JJAI IAVII/J -- b� e7jj I I
Signature: Print Name: Cont t Date:
Form Revised Oct 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110715
Issued Full: 11/25/2011
Permit Type: Residential Plumbing
Site Address: 1940 LARKSPUR DR
Job Valuation: $171.30 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 11/25/2011 $19.00
Receipt issued: 11/25/2011 Total Paid to Date: $19.00
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $15.00
Subs
City Sales/Use Tax 251.122030 $3.31
County Sales/Use Tax 100.217030 $0.69
Comments
AMERICAN AIR & HTG TRUST
Amount Paid Date Paid Amount Due
$15.00 11/25/2011 $0.00
$3.31 11/25/2011
$0.69 11/25/2011
$0.00
$0.00
TOTAL FEES: $19.00 $19.00 $0.00
TOTAL BALANCE DUE AS OF.11/25/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.