HomeMy WebLinkAbout743 Boltz Dr - Permits/Furnace - 07/12/2016City of
F6rt Collins
Site Address: 743 BOLTZ DR
Job Valuation: $2,000.00 Category: Residential
Owner: VAN ORT RICHELLE L
743 BOLTZ DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Phone:
Building Permit #: B1603926
Issued Full: 07/12/2016
Permit Type: Residential Mechanical
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL 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 Sprklr: Stock plan #: Stock plan options:
Contractor: VALLEY HEATING AIR CONDITIONING &
REFRIGERATION
I 570 Mooglow Dr
Windsor, C.O. _ 8055.0
Subcontractor(s)
Mechanical: VALLEY HEATING AIR C6NDITI .
Work Description: New furnace::.
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 07/12/16: $70.00 Payment method: Credit Card 8833
** 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 required within 15 feet of each bedroom entrance.
Signature: �.�_,/ Print Name: Date: 7- /Z -� 6
Form Revised Oct 2010
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603926
Issued Full: 07/12/2016
Permit Type: Residential Mechanical
Site Address: 743 BOLTZ DR
Job Valuation: $2,000.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK # 8833 07/12/2016
$70.00
paid by Michele Comiskey Valley Heating with/cc
Receipt issued: 07/12/2016 Total Paid to Date:
$70.00
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$38.50
$38.50 07/12/2016
$0.00
County Sales/Use Tax 100.217030
$6.50
$6.50 07/12/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 07/12/2016
$0.00
TOTAL `FEES:
$70.00
$70.00
$0.00
TOTAL BALANCE DUE AS OF 07/1212016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.