HomeMy WebLinkAbout4674 Snow Mesa Dr - Permits/Mechanical - 07/15/2016City of
F6rt Collins
Site Address: 4674 SNOW MESA DR
Job Valuation: $3,380.00 Category: Medical/Dental Clinics
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1604042
Issued Full: 07/15/2016
Permit Type: Commercial Mechanical
Owner: HEALTH SERVICES DISTRICT OF
1024 S LEMAY AVE
FORT COLLINS, CO 80524 Phone: 970-225-5047
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PLID: Filing #: Lot #: 1 Block #: 1
Code: Res sq ft: 0 Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s) _
Electrical: WIRED ELECTRIC CO ...
Mechanical: NORTHERN COLORADO AIR INC
Job Contact: ROY.R GRIFFIN
Work Description: Add mini -split.
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837 Supervisor cert #: 1699-H
Phone: 970-223-8873
License Number
ME-799
H-837 ..... _
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 07/15/16: $162.81 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
City 1 Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
F6rt Collins
Building Permit #: B1604042
Issued Full: 07/15/2016
Permit Type: Commercial Mechanical
Site Address: 4674 SNOW MESA DR
i Job Valuation: $3,380.00 Category: Medical/Dental Clinics
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 07/15/2016
$162.81
Receipt issued: 07/15/2016 Total Paid to Date:
$162.81
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$86.75
$86.75
07/15/2016
$0.00
Subs
I City Sales/Use Tax 251.122030
$65.07
$65.07
07/15/2016
$0.00
1 County Sales/Use Tax 100.217030
$10.99
$10.99
07/15/2016
$0.00
$162.81 $162.81
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.