HomeMy WebLinkAbout1624 Independence Ct - Permits/Furnace - 03/04/2015�fCollins
Site Address: 1624 INDEPENDENCE CT
Job Valuation: $1,950.00 Category: Residential
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970-224.6134 -fax
Building Permit #: B1501304
Issued Full: 03/04/2015
Permit Type: Residential Mechanical
Owner: SMITH G REX/MARY E
1624 INDEPENDENCE CT
FORT COLLINS, CO 80526-1708 Phone: 970-493-5881
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan M Stock plan options:
Contractor: CHOICE CITY HEATING & AIR CONDITIONING License #: H-823 Supervisor cert#:
2604 AVOCET RD
FORT COLLINS, CO 80526 Phone: 970-215-7623
Subcontractor(s) Phone License Number
Mechanical: CHOICE CITY HEATING & AIR 970-215-7623 H-823
Work Description: Replace existing furnace with a new furnace.
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://Www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/04/15: $68.88 Payment method: Credit Card 5834
'* 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 pernA
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Print Name: L Aezz, =& & Date: �i t —� �`�o e 5
Form Revised Oct 2010
CIt" O Community Deuelopment&Neighborhood Services
For't Coll i ns 28i N. CollegeAve Fort Collins,CO So522
970.221.6�60 970.224.6i34 -fax
Building Permit#: B1501304
Issued Full: 03/04/2015
Permit Type: Residential Mechanical
;� Site Address: 1624 INDEPENDENCE CT
Job Valuation: 1 950.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#5834 03/04/2015 $68.88
n Receipt issued: 03/04/2015 Total Paid to Date: $68.88
'' Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $37.54 $37.54 03/04/2015 $0.00
� County SaleslUse Tax 100.217030 $6.34 $6.34 03/04/2015 $0.00
: Permit Flat Fee w/o Subs$25 1000.422010 $25.00 $25.00 03/04/2015 $0.00
TOTAL FEES: $68.88 $68.88 $0.00
, TOTAL BALANCE DUE AS OF 03/04/2015: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.