HomeMy WebLinkAbout5427 Rabbit Creek Rd - Permits/Furnace - 06/05/2012arof
t Collins
Site Address: 5427 RABBIT CREEK RD
Job Valuation: $2,175.00 Category: Residential
Owner: DAIG GORDON D/JEANETTE E
5427 RABBIT CREEK RD
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 97o.224.6134 -fax
Building Permit #: B1203331
Issued Full: 06/05/2012
Permit Type: Residential Mechanical
Phone: 734-775-9763
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Contractor:
Com sq ft:
Occ Group:
Stock plan #:
NORTH. COLORADO AIR
812 STOCKTON AVE
FORT COLLINS,'CO 80524,
SubcontractoF(s
Mechanical: NORTH. COLORAD0 AIR
Filing #: Lot #: 3 Block #: 2
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837 Supervisor cart #:
Phone: 970-223-8873
" Phone j i License Number
970223-8873.._ ; i I_� }`V H-837
L
Work Description REPLACE FURNACE ✓' y -
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess
***By Mobile Device- http://amos.fcgov.com/CitizenAccess/amca/
Inspections:�GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/13/12: $25.00 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 Monoxide Alarm required within 15 feet of each bedroom entrance.
Rea A,4
Signature: .Print Name:
Date:
a
Form Revised Oct 2010
arof
t Collins
Site Address: 5427 RABBIT CREEK RD
Job Valuation: $2,175.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fax
Building Permit #: B1203331
Issued Full: 06/05/2012
Permit Type: Residential Mechanical
Trust Account 06/05/2012 $25.00 NORTH. COLO TRUST
Receipt issued: 06/1312012 Total Paid to Date:- $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/05/2012 $0.00
TOTAL FEES: $25.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF 06/13/2012: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010