HomeMy WebLinkAbout1619 Palm Dr - Permits/Furnace - 06/16/2016-1
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Site Address: 1619 PALM DR
Job Valuation: $1,820.001 Category: Residential
Owner: PALM INVESTORS LIMITED
3030 S COLLEGE AVE UNIT 203
FORT COLLINS, CO 80525-2557
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1603314
Issued Full: 06/16/2016
Permit Type: Residential Mechanical
Phone: 970-225-9664
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NC - NEIGHBORHOOD COMMERCIAL DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ROCKY MTN COMFORT CONTROL License #: H-2401-RR Supervisor cert#:
3525 WESTMINSTER COURT ..: .
FORT COLLINS, CO 80526 Phone: 970-420-4459
Work Description: Replace furnace.
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 06/16/16: $65.95 Payment method: Credit Card 8949
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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
Signatur
within 15 feet of each bedroom entrance.
Print Name: C' d d4 Date: 116
11,6
orm Revised Oct 2010
-,
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Site Address: 1619 PALM DR
Job Valuation: $1,820.00 Category: Residential
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603314
Issued Full: 06/16/2016
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 8949 06/16/2016 $65.95 TRACY NORTH/ROCKY MTN COMFORT CONTROL PAID
WITH CC
Receipt issued: 06/16/2016 Total Paid to Date:
$65.95
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$35.04
$35.04
06/16/2016
$0.00
County Sales/Use Tax 100.217030
$5.91
$5.91
06/16/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
06/16/2016
$0.00
TOTAL FEES:
$65.95 $65.96
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.