HomeMy WebLinkAbout3132 Birmingham Dr - Permits/Air Conditioner - 09/27/2016F___ I __
ort Collins
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Site Address: 3132 BIRMINGHAM DR
Job Valuation: $3,662.00 Category: Residential
Owner: KOGAN LORI R
3132 BIRMINGHAM DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605483
Issued Full: 09/27/2016
Permit Type: Residential Mechanical
Phone: 970-491-7984
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: FORT COLLINS HEATING & AIR License #: H-1309 Supervisor cert#: 1597-H
208 COMMERCE DR#4
FORT COLLINS, CO 80524 Phone: 970-484-4552
Work Description: Replace 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
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 09/27/16: $107.39 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 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:
Form Revised Oct 2010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.22i.676o 970.224.61S4 -fax
Building Permit #: B1605483
Issued Full: 09/27/2016
Permit Type: Residential Mechanical
' Site Address: 3132 BIRMINGHAM DR
Job Valuation: $3,662.00 Category: Residential
Transactions
Method Check
Number Date Paid
Amount Paid
Comments
Trust Account
09/27/2016
$107.39
Receipt issued: 09/27/2016 Total Paid to Date:
$107.39
j Fee Description
Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax
251.122030
$70.49
$70.49 09/27/2016
$0.00
County Sales/Use Tax
100.217030
$11.90
$11.90 09/27/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 09/27/2016
$0.00
TOTAL FEES:
$107.39
$107.39
$0.00
TOTAL BALANCE DUE AS OF 09/27/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.