HomeMy WebLinkAbout1125 W Mountain Ave - Permits/Air Conditioner - 01/15/2016of
F,rt Collins
Site Address: 1125 W MOUNTAIN AVE
Job Valuation: $2,495.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1600214
Issued Full: 01/15/2016
Permit Type: Residential Mechanical
Owner: DOWLING THERESA L
590 BAKER AVE
GALLUP, NM 87301-7054 Phone: 505-870-7633
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION -LOW DENSITY DISTRICT
Legal: Subdivision/PUD: Filing M Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #
Contractor: R & H HTG & A/C, INC
201 SMOKEY ST
FORT COLLINS, CO 80525
Subcontractor(s) - --
Mechanical: R & H HTG & A/C, INC.
Work Description: Replace air conditioner
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1831 Supervisor cert#:
Phone: 970-226-3619
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 01/15116: $81.14 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 informalion. 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
City of
F6rt,Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600214
Issued Full: 01/15/2016
Permit Type: Residential Mechanical
Site Address: 1126 W MOUNTAIN AVE
Job Valuation: $2,495.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 01/15/2016
$81.14
Receipt issued: 01/15/2016 Total Paid to Date:
$81.14
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$48.03
$48.03
01/15/2016
$0.00
County Sales/Use Tax 100.217030
$8.11
$8.11
01/15/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
01/15/2016
$0.00
TOTAL FEES:
$81.14 $81.14
TOTAL BALANCE DUE AS OF 01/15/2016:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.