HomeMy WebLinkAbout1003 Nightingale Dr - Permits/Furnace - 03/09/2015city of
F6rt Collins
Site Address: 1003 NIGHTINGALE DR
Job Valuation: $3,000.00 Category: Residential
Owner: RUHLMAN MARK T/MARY K
1003 NIGHTINGALE DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 97o.224.6134 -fax
Building Permit #: B1501409
Issued Full: 03/09/2015
Permit Type: Residential Mechanical
Phone: 970-646-2241
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: IFiling #: Lot #: 4 Block* 3
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POUDRE VALLEY AIR
2416 DONELLACT#A
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: POUDRE VALLEY AIR
Work Description: Replace furnace
Const Type:
Stock plan options:
License #: H-835
Phone: 970-493-2050
Phone
970493-2050
Supervisor cert#:
License Number
H-835
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 03/09115: $92.50 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1003 NIGHTINGALE DR
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 03/09/2015 $92.50
Receipt issued: 03/09/2015 Total Paid to Date: $92.50
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $57.75
County Sales/Use Tax 100.217030 $9.75
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1501409
Issued Full: 03/09/2015
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$57.75 03/09/2015 $0.00
$9.75 03/09/2015 $0.00
$25.00 03/09/2015 $0.00
$92.50 $92.50
$0.00
TOTAL BALANCE DUE AS OF 03/09/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010