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HomeMy WebLinkAbout3002 W Elizabeth St - Permits/Furnace - 01/19/2012arot t Collins Site Address: 3002 W ELIZABETH ST. 11 A Job Valuation: $1,225.00 Category: Residential Owner: JACK M TAYLOR PROFIT SHARING PLAN 0 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1200264 Issued Full: 01/19/2012 Permit Type: Residential Mechanical 38246 COUNTY ROAD 43 EATON, CO 80615 Phone: 970-420-9302 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: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: AMERICAN AIR HTG & A/C 561 E. GARDEN DR UNIT WINDSOR, CO 80550 Subcontractorts) Mechanical: AMERICAN_AIR HTG_& A/C V Work Description: FURNACE REPLACEMENT Filing #: Lot #: Block #: Ind sq ft: _ Const Type: _ Stock plan options: i License #: H-1729 Phone: 970-686-6086 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: GL FNM FNP FNE TOTAL FEES PAID AS OF 01/19/12: $53.50 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 properly 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 peril 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. SHIPT JAN 19 2012�\` Signature: Print Name: CoDate: Form Revised Oct 2010 C'}" O Community Deuelopment&Neighborhood Services Fort Colli ns 281 N. CollegeAue Fori Collins, CO So522 97o.22i.676o 970.224.6i34 -fax Building Permit#: B1200264 Issued Full: 01/1912012 • Permit Type: Residential Mechanical - Site Address: 3002 W ELIZABETH ST. 11 A Job Valuation: 1 225.00 Category: Residential Transactions Method Check Number pate Paid Amount Paid Comments Trust Account 01/19/2012 $53.50 AMERICAN HTG/AIR TRUST Receipt issued: 01/19/2012 Total Paid to Date: $53.50 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $23.60 $23.60 01/19/2012 $0.00 County Sales/Use Tax 100.217030 $4.90 $4.90 01/19/2012 $0.00 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/19/2012 $0.00 TOTAL FEES: $53.50 $53.50 $0.00 /�;:� �, , �r , , �� '� _ , A�`,,� i� %�TOTAL BALANCE DUE AS OF 01/19/2012: 0.00 `��-'>�. . , : � % �_`. :i ..' ,, , ❑ O � - .�=`,�,,� ��' � � �V� � �� �� � � � ���- — -- -> Fee Amounts are valid for date of this document only.Fees subject to change without notice.