HomeMy WebLinkAbout621 Smith St - Permits/Air Conditioner - 05/24/2012art Collins
Site Address: 621 SMITH ST
Job Valuation: $4,380.00 Category: Residential
Owner: SCHILLING TEDD A/LUANN R
621 SMITH ST
FORT COLLINS, CO 80524-3120
Community Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203107
Issued Full: 05/24/2012
Permit Type: Residential Mechanical
Phone:970-407-9983
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot M Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Contractor: AFFORDABLE HEATING & AIR
PO BOX 270246.'
FORT COLLINS, CO 80527
Subcontractor(sl
Mechanical: AFFORDABLE HEATING_& AIR
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Work Description: REPLACE AIR CONDITIONING UNIT! �
Basement sq ft:
License#: H-1141 Supervisorcert#:
Phone: 970-352-2820
Phone
970-352-2820 0
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License Number
H-1141
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/24/12: $126.84 Payment method: Credit Card
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 incomact 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 Name: Date:
Form Revised Oct 2010
art Collins
Site Address: 621 SMITH ST
Job Valuation: $4,380.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203107
Issued Full: 05/24/2012
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 05/24/2012 $126.84 PAID BY RUSSEL F GRIFFIN / AFFORDABLE HEATING
CREDIT CARD.
Receipt issued: 05/24/2012 Total Paid to Date:
$126.84
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$84.32
$84.32
05/24/2012
$0.00
County Sales/Use Tax 100.217030
$17.52
$17.52
05/24/2012
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
05/24/2012
$0.00
TOTAL FEES: $126.84 $126.84
$0.00
TOTAL BALANCE DUE AS OF 05/24/2012: 0.00
a O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010