HomeMy WebLinkAbout2217 Loyola Ave - Permits/Air Conditioner - 07/11/2016City of
F6rt Collins
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Site Address: 2217 LOYOLA AVE
Job Valuation: $4,579.14 Category: Residential
Owner: KYLLINGSTAD THOMAS D
2217 LOYOLA AVE
FORT COLLINS, CO 80525-1453
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603906
Issued Full: 07/11/2016
Permit Type: Residential Mechanical
Phone: 970-484-4674
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:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #:
Contractor: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524.
Subcontractor(s)..._._______:
Mechanical: POUDRE, VALLEY AIR_
Work Description: Replacement of existing.air conditioner
Filing #: Lot #: Block #:
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 07/11/16: $128.03 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
F___ I __
ort Collins
Site Address: 2217 LOYOLA AVE
Job Valuation: 4 579.14 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 07/11/2016 $128.03
Receipt issued: 07/11/2016 Total Paid to Date: $128.03
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $88.15
County Sales/Use Tax 100.217030 $14.88
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603906
Issued Full: 07/11/2016
Permit Type: Residential Mechanical
•,.1 1-1-,
Amount Paid
$88.15
$14.88
$25.00
$128.03 $128.03
Date Paid
Amount Due
07/11/2016
$0.00
07/11/2016
$0.00
07/11/2016
$0.00
$0.00
TOTAL BALANCE DUE AS OF 07/11/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.