HomeMy WebLinkAbout1121 Robertson St - Permits/Furnace - 03/16/2012��Collins
Site Address: 1121 ROBERTSON ST
-Job Valuation: $1,500.00 Category: Residential
Owner: HODGDON LINWOOD D
3375 CHALLENGER POINT DR
LOVELAND, CO 80538-7220
Zoning: Front setback: Rear setback:
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1201301
Issued Full: 03/16/2012
Permit Type: Residential Mechanical
Phone: 720-939-2045
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: LONGS PEAK ENERGY CONSERV
PO BOX 471
BOULDER, CO 80306 �i ��
Subcontractors) _
Mechanical: LONGS PEAK ENERGVY,CONSERV
C
Work Description: INSTALLING 100,000 BTU FURNACE
License #: H-1422 Supervisor cert#:
Phone: 720-864-6405
License Number
❑ H-1422
II SCHEDULE INSPECTIONS: ""* By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
"**By Mobile Device: http://amos.fcgov.com/CitizenAccess/amcal
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/16/12: $25,00 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a peril, 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.
Signatur : Print Named 1 Date:
Form Revised Oct 2010