HomeMy WebLinkAbout836 Roma Valley Dr - Permits/Furnace - 06/09/2017F&fCollins
�r
Site Address: 06 ROMA VALLEY DR
Job Valuation: $7,656.00 Category: Residential
Owner: CLAYBAUGH WILLIAM R II
838 ROMA VALLEY DR
FORT COLLINS, CO 80525-6751
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1703045
Issued Full: 06/09/2017
Permit Type: Residential Mechanical
Phone 517-212-3467
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
Code: Res sq ft Com sq ft
# of stories Occ Group
Fire Sprklr Stock plan #
Contractor: CUSTOM HEATING & AIR, INC
395 DELOZIER DR #120
FORT COLLINS, CO 80524.
Subcontractor(s)
Mechanical i CUSTOM HEATING &;AIR,..INC
i
LL j
Work Descnption Installation of new. furnace
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
License # H-1004 Supervisor cart #
Phone 970-282-7220
-,,-�_ Phone
970:282-7220._.\
License Number
i I � `
1J � L�
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 06/09/17: S197.26 Payment method: Credit Card 6906
" 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 Cdy ordinances, and State Ism assoaated with such work. I understand that such pem* may be
revoked in the event that issuance was based on it rect mf nation The permit shall become null and void if the work authorized by such permit is not = mienced,
suspended, abandoned or rat Inspected wiCim 180 days from the date of such pertNL
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: / Date:
orn Revised Oct 2010
fins
Site Address: 838 ROMA VALLEY DR
Job Valuation: $7,65600 Category: Residential
Transactions
Credit Card CK # 6906 06/09/2017 $197 26
Receipt issued: 06/09/2017 Total Paid to Date: $197 26
Fee Description Account Code Fee Amount
City Sales/Use Tax 251 122030 $147 38
County Sales/Use Tax 100 217030 $24 88
Permit Flat Fee w/o Subs $25 1000 422010 $25 00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1703045
Issued Full: 06/09/2017
Permit Type: Residential Mechanical
Amount Paid
Date Paid
Amount Due
$147 38
06/09/2017
$0 00
$24 88
06/092017
$0 00
$25 00
06/092017
$0 00
TOTAL FEES: $197.26 $197.26 $0.00
TOTAL BALANCE DUE AS OF 06109/2017: 0.00
I /
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth