HomeMy WebLinkAbout2719 W Stuart St - Permits/Furnace - 05/11/2015F___1fCollins
Site Address: 2719 W STUART ST
Job Valuation: $2,142.00 Category: Residential
Owner: PATEL DINESHCHANDRA
2719 W STUART ST
FORT COLLINS, CO 80526-1167
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit #: B1503369
Issued Full: 06/11/2015
Permit Type: Residential Mechanical
Phone: 970-493-0933
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block M
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY AIR License #: H-835 Supervisor cert#:
2416 DONELLA CT#A
FORT COLLINS, CO 80524 Phone: 970-493-2050
Subcontractor(s) Phone
Mechanical: POUDRE VALLEY AIR 970-493-2050
Work Description: Replace furnace
License Number
H 835
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile 11
Illnspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/11/15: $73.19 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
LI Of
Community Development & Neighborhood Services
`�Coltiloalihs
Fort
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503369
Issued Full: 05/11/2015
Permit Type: Residential Mechanical
Site Address: 2719 W STUART ST
Job Valuation: $2,142.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 05/11/2015
$73.19
Receipt issued: 05/11/2015 Total Paid to Date:
$73.19
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$41.23
$41.23 05/11/2015 $0.00
County Sales/Use Tax 100.217030
$6.96
$6.96 05/11/2015 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 05/11/2015 $0.00
TOTAL FEES:
$73.19
$73.19 $0.00
TOTAL BALANCE DUE AS OF 05/11/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.