HomeMy WebLinkAbout217 Smith St - Permits/Furnace - 11/12/2014arof
t Collins
Site Address: 217 SMITH ST
Job Valuation: $3,443.19 Category: Residential
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1410899
Issued Full: 11/12/2014
Permit Type: Residential Mechanical
Owner: SEMERAD CATHYANN
1281 MANN CREEK RD
WEISER, ID 83672-5529 Phone: 970-482-1930
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: CL - LIMITED COMMERCIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ Group:
Fire Sprklr:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
Contractor: COLORADO DELTA MECHANICAL License #: MP-644 Supervisor cert#:
6056 EAST BASELINE RD #155
MESA, AZ 85206 Phone: 866-692-5273
Subcontractor(s). .- yPhone I j ; _ License Number
Plumbing: i COLORADO_DELTA.MECHQNICAL 866-692-5273 j i I-4;.Mp_6gq
_Work Description: Furnace replacement 3 ton
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fc ov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11/12/14: $101.61 Payment method: Credit Card 1135
*` 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:
Fonn Revised Oct 2010
ity
//OFcot Collins
Site Address: 217 SMITH ST
Job Valuation: $3,443.19 Category: Residential
Transactions
Method Check Number pate Paid
Credit Card CK# 1135 11/12/2014
Receipt issued: 11/12/2014 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$101.61
$101.61
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
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Building Permit #: B1410899
Issued Full: 11/12/2014
Permit Type: Residential Mechanical
Fee Amount
Amount Paid
$66.28
$66.28
$10.33
$10.33
$25.00
$25.00
$101.61 $101.61
Date Paid
Amount Due
11/12/2014
$0.00
11/12/2014
$0.00
11/12/2014
$0.00
$0.00
TOTAL BALANCE DUE AS OF 11/12/2014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.