HomeMy WebLinkAbout1305 Rollingwood Ln - Permits/Air Conditioner - 01/22/2016 (2)Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600359
Issued Full: 03/08/2016
Permit Type: Residential Mechanical
Site Address: 1305 ROLLINGWOOD LN
Job Valuation: 6 500.00 Category: Residential
Owner: EASTHAM CAROL SUSAN/CLARENCE STACEY III
PO BOX 272880
FORT COLLINS, CO 80528 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
j. Legal: Subdivision/PLID: Filing #: Lot #: Block #:
i..
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
I . # of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: SWAN HEATING & AIR COND., INC. License M H-1920 Supervisor cert#:
11 599 W.66TH ST
LOVELAND, CO 80538 Phone: 970-215-5870
I Subcontractors)-- _ Phone License Number
Mechanical: SWAN HEATING & AIR CONb., 970-215-5870 H-1920
Work Description: Install (2 of2) air conditioners.
I 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 03/08/16: $171.26 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
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Community Development&Neighborhood Services
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f Building Permit#: B1600359
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�� Issued Full: 03/08/2016
�� Permit Type: Residential Mechanical
! �� Site Address: 1305 ROLLINGWOOD LN
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' �j Job Valuation: $6,500.00 Category: Residential
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�I Transactions
j� Method Check Number Date Paid Amount Paid Comments
I� Trust Account 03/08/2016 $171.26
' Receipt issued: 03/08/2016 Total Paid to Date: $171.26
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Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
� I City Sales/Use Tax 251.122030 $125.13 $125.13 03/08/2016 $0.00
j I County Sales/Use Tax 100.217030 $21.13 $21.13 03/08/2016 � $0.00
;� Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 03/08/2016 � $0.00
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� 'j TOTAL FEES: $171.26 $171.26 $0.00
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°� TOTAL BALANCE DUE AS OF 03/08/2016: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.