HomeMy WebLinkAbout1815 Somerville Dr - Permits/Furnace - 09/15/2016I
City
_ Community Development & Neighborhood Services
J Fort Collins
281 N. College Ave Fort Collins CO 80 22
g 5
970.221.676o 970.224.6134 -fax
Building Permit #: B1605327
Issued Full: 09/16/2016
Address:
Permit Type: Residential Mechanical
Site 1815 SOMERVILLE DR
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Job Valuation: 4 113.00 Category: Residential
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Owner: SALLER KENNETH R
i' 4300 PEARLGATE CT
FORT COLLINS 80526
Phone: 970-231-7010
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:
r # of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
I Contractor: FORT COLLINS HEATING & AIR
License #: H-1309 Supervisor cert#:
t 208 COMMERCE DR#4 .
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t FORT COLLINS; CO 80524
Phone: 970-484-4552
Subcontractor(s)
Phone License Number
Mechanical: FORT COLLINS HEATING & AIR _
970=484-4552. H-1309... .
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
hnsoections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 10/31/16: $117.55 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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.. Community Development & Neighborhood Services
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Fort Collins
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.22¢.613¢ -fax
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Building Permit #: B1605327
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Issued Full: 09/15/2016
Permit Type: Residential Mechanical
j ' Site Address: 1815 SOMERVILLE DR
I Job Valuation: $4,113.00 Category: Residential
Transactions
ri
i Method Check Number Date Paid
Amount Paid
Comments
r Trust Account 09/15/2016
$117.55
Receipt issued: 10/31/2016 Total Paid to Date:
$117.55
Fee Description Account Code
I
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$79.18
$79.18 09/15/2016 $0.00
�.! County Sales/Use Tax 100.217030
$13.37
$13.37 09/15/2016 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
i.j
$25.00
$25.00 09/15/2016 $0.00
f TOTAL FEES:
$117.65 $0.00
$117.55
f ?
TOTAL BALANCE DUE AS OF 10/31/2016: La 0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.