HomeMy WebLinkAbout422 E Pitkin St - Permits/Air Conditioner - 07/26/2016.. --- -�.T- -
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Site Address: 422 E PITKIN ST
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Job Valuation: $5,623.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1604300
Issued Full: 07/26/2016
Permit Type: Residential Mechanical
i Owner- HENZE RANDY C/TRACY A
320 EDWARDS ST
FORT COLLINS, CO 80524
Phone:
! Zoning: Front setback: Rear setback:
Right setback:
Left setback:
I; Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: Block #:
I Code: Res sq ft: Com sq ft:
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Ind sq ft:
Basement sq ft:
.; # of stories: Occ Group:
Const Type:
{ Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: FORT COLLINS HEATING & AIR
License #: H-1309
Supervisor cert#:
i 208 COMMERCE DR#4 .
FORT COLLINS, CO 80524
Phone: 970-484-4552
Subcontractor(s)
Phone
License Number
1.1 Mechanical: FORT COLLINS HEATING & AIR. ,
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970=484-4552
H-1309 .....
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Work Description: Replacement of existing air conditioner,
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 07/26/16: $151.51 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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�I F6rtCollins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1604300
Issued Full: 07/26/2016
Permit Type: Residential Mechanical
Site Address: 422 E PITKIN ST
Job Valuation: $5,623.00 Category: Residential
1
Transactions
Method Check Number pate Paid Amount Paid Comments
Trust Account 07/26/2016 $151.51
Receipt issued: 07/26/2016 Total Paid to Date: $151.51
l Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $108.24 $108.24
i County Sales/Use Tax 100.217030 $18.27 $18.27
j Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$161.61 $161.61
Date Paid
Amount Due
07/26/2016
$0.00
07/26/2016
$0.00
07/26/2016
$0.00
TOTAL BALANCE DUE AS OF 07/26/2016:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.