HomeMy WebLinkAbout1512 Elm St - Permits/Air Conditioner - 07/01/2014F1___t Collins
Site Address: 1512 ELM ST
Job Valuation: $3,099.73 Category: Residential
Owner: JONES RICHARD R
1512 ELM ST
FORT COLLINS, CO 80521-1625
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B1403403
Issued Full: 07/01/2014
Permit Type: Residential Mechanical
Phone:970-484-7562
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POLIDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractors) _ i _
Electrical: FOOTHILLS ELECTRIC, INC .
Mechanical: POLIDRE VALLEY AI12�_ j
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: H-835 Supervisor cert#:
Phone: 970-493-2050
-Phone
970-567-2595
970493-20 6
License Number
ME-1363_ _
H-835 ,
A
Work Description: Install ncw4#eter-Heater
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 07/02/14: $93.97 Payment method: Trust Account
" Fee Derail 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 Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
Fart Collins
Site Address: 1512 ELM ST
Job Valuation: $3,099.73 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 07/01/2014
Receipt issued: 07/02/2014 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$93.97
$93.97
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1403403
Issued Full: 07/01/2014
Permit Type: Residential Mechanical
Comments
Paid $93.97 with trust account
Fee Amount
Amount Paid
$59.67
$59.67
$9.30
$9.30
$25.00
$25.00
ti..
$93.97 $93.97
Date Paid
Amount Due
07/01/2014
$0.00
07/01/2014
$0.00
07/01/2014
$0.00
$0.00
TOTAL BALANCE DUE AS OF 07/02/2014: 0.00
i
1
Fee Amounts are valid for date of this document only. Fees subject to change without notice.