HomeMy WebLinkAbout504 Maple St - Permits/Air Conditioner - 08/10/2015City®f Community Development & Neighborhood Services
F6rt�/Collins 28i N. College flue Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1505392
Issued Full: 08/10/2015
Permit Type: Residential Mechanical
Site Address: 504 MAPLE ST
Job Valuation: $3,900.00 Category: Residential
Owner: RESAU LAURA SUZANNE
504 MAPLE ST
FORT COLLINS, CO 80521
Phone: 970-690-9128
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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 #:
i
Stock plan options:
Contractor: SWAN HEATING & AIR COND., INC.
License #: H-1920
Supervisor cert#:
599 W.66TH ST
LOVELAND, CO 80538
Phone: 970-215-5870
Subcontractor(sl
Phone
License Number
Mechanical: SWAN HEATING & AIR COND.,
970-215-5870.
' H-1920.
Work Description: A/C install
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 08/10/15: $112.75 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
F&fColhns
Site Address: 504 MAPLE ST
Job Valuation: $3,900.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1505392
Issued Full: 08/10/2015
Permit Type: Residential Mechanical
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 07120/2015
$112.75
Receipt issued: 08/10/2015 Total Paid to Date:
$112.75
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$75.07
$75.07
07/20/2015
$0.00
County Sales/Use Tax 100.217030
$12.68
$12.68
07/20/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
07/20/2015
$0.00
TOTAL FEES:
$112.75 $112.76
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.