HomeMy WebLinkAbout2930 Silverplume Dr - Permits/Furnace - 05/19/2015F -' rfCollins
j Site Address: 2930 SILVERPLUME DR
Job Valuation: $2,725.00 Category: Residential
Owner: RAKIECKI JONATHAN D/ASHLEY L
2930 SILVERPLUME DR
FORT COLLINS, CO 80526
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603670
Issued Full: 05/19/2015
Permit Type: Residential Mechanical
Phone:406-465-6052
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M 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: _
Fire Sprklr: Stock plan M _
Contractor: R & H HTG & A/C, INC
201 SMOKEY ST
FORT COLLINS, CO 80525
Subcontractor(s)_ r
Mechanical: R & H HTG & A/C, INC
Work Description: Replace furnace
Const Type: _
Stock plan options:
License #: H-1831 Supervisor cent#:
Phone: 970-226-3619
Phone
970-226-3619
License Number
H-1831
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/19115: $86.32 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 pemA
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
City o
�F&tc'ollins
Site Address: 2930 SILVERPLUME DR
Job Valuation: $2,725.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 05/19/2015 $0.02
ity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1503670
Issued Full: 05/19/2015
Permit Type: Residential Mechanical
Check CK# 12269 05/19/2015
$86.30
Check#12269 by R&H Heating & Air Conditioning INC.
Receipt issued: 05/19/2015 Total Paid to Date:
$86.32
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
City Sales/Use Tax 251.122030
$52.46
$52.46
05/19/2015 $0.00
County Sales/Use Tax 100.217030
$8.86
$8.86
05/19/2015 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
05/19/2015 $0.00
TOTAL FEES: $86.32 $86.32 $0.00
TOTAL -BALANCE DUE AS OF ,05/19/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.