HomeMy WebLinkAbout513 11th St - Permits/Air Conditioner - 09/03/2019City of Community Development &Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
97o.221.676o 99o.224.6134 -fax
Building Permit#: B1909488
Issued Full: 09/03/2019
Permit Type: Residential Mechanical
Site Address: 513 11TH ST
Job Valuation: $977.77 Category: Residential
Owner: ELLIS TERRY D
513 11TH ST
FORT COLLINS, CO 80524
Phone: 970-486-1498
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: Block #:
Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprkir: 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
Subcontractorls)__ __=i -�
Phone (1
License Number
Mechanical: POUDRE VALLEYj.AIR� r _,
970493-2050-_ !
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Work Description: Replace air conditioner.
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 IH
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile II
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 09/03/19: $47.73 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
�Fo-rfCollins
Site Address: 513 11TH ST
Job Valuation: $977.77 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 09/03/2019 $47.73
Receipt issued: 09/03/2019 Total Paid to Date: $47.73
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $18.82
County Sales/Use Tax 100.217030 $3.91
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 990.224.6134 -fax
Building Permit #: B1909488
Issued Full: 09/03/2019
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$18.82 09/03/2019 $0.00
$3.91 09/03/2019 $0.00
$25.00 09/03/2019 $0.00
TOTAL FEES: $47.73 $47.73 $0.00
TOTAL BALANCE DUE AS OF 09/0312019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.