HomeMy WebLinkAbout2712 Blackstone Ct - Permits/Furnace - 06/30/2015arof
t Collins
Site Address: 2712 BLACKSTONE CT
Job Valuation: $6,223.00 Category: Residential
Owner: THIEMANN MICHAEL
2712 BLACKSTONE CT
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1504928
Issued Full: 06/30/2015
Permit Type: Residential Mechanical
Phone: 970-689-2215
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:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: FORT COLLINS HEATING & AIR
Work Description: Replace furnace.
Const Type: _
Stock plan options:
License #: H-1309
Phone: 970-484-4552
_.Phone
970-484-4552 -
Supervisor cert#:
License Number
H-1309
i
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 06130/15: $165.01 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 pera t
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Forth Revised Oct 2010
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Site Address: 2712 BLACKSTONE CT
Job Valuation: $6,223.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 06/30/2015 $165.01
Receipt issued: 06/30/2015 Total Paid to Date: $165.01
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $119.79
County Sales/Use Tax 100.217030 $20.22
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
J
Community Development& Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1504928
Issued Full: 06/30/2015
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$119.79 06/30/2015 $0.00
$20.22 06/30/2015 $0.00
$25.00 06/30/2015 $0.00
$166.01 $165.01 $0.00
TOTAL BALANCE DUE AS OF 06/30/2015: 0L-01-0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.