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Home My WebLink About1103 Forrestal Dr - Permits/Furnace - 11/15/2016City of Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80,522 6rt Collins 970.221.676o 970.224.6134 -fax Building Permit #: B1606851 Issued Full: 11/16/2016 Permit Type: Residential Mechanical Site Address: 1103 FORRESTAL DR j Job Valuation: $2,542.00 Category: Residential Owner: GREEN JEFFREY S/LISA H 1103 FORRESTAL DR i ' FORT COLLINS, CO 80526 Phone: 970-214-0866 Zoning: Front setback: Rear setback: Right setback: Left setback: r. Minor Amend #: Plat File #: ZBA Case #: b Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: 67 Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: 1 Fire Sprklr: Stock plan #: Stock plan options: I Contractor: DCSHORTRIDGE DBA GARY HOOLEY HTG & License #: H-1654 Supervisor cert#: 1952-H R 1314 WEB TEAVE Phone:970-493-3272 WEBSTER FORT.C.OLLINS, CO 80524 Subcontractor(s)- Phone License Number Mechanical: DC SHORTRIDGE DBA GARY HOO 970-493-3272 H71654 Work Description: Replace furnace. 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 11/15/16: $82.19 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 ► City of Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 F6rt Collins 970.221.6760 970.224.6134-fax j Building Permit #: B1606851 Issued Full: 11/15/2016 Permit Type: Residential Mechanical Site Address: 1103 FORRESTAL DR Job Valuation: $2,542.00 Category: Residential Method Check Number Date Paid Amount Paid Comments Trust Account 11/15/2016 $82.19 Receipt issued: 11/15/2016 . Total Paid to Date: $82.19 Fee Description Account Code Fee Amount Amount Paid City Sales/Use Tax 251.122030 $48.93 $48.93 County Sales/Use Tax 100.217030 $8.26 $8.26 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 TOTAL FEES: $82.19 $82.19 Date Paid Amount Due 11/15/2016 $0.00 11/15/2016 $0.00 11/15/2016 $0.00 $0.00 TOTAL BALANCE DUE AS OF 11/15/2016: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.