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HomeMy WebLinkAbout836 Roma Valley Dr - Permits/Air Conditioner - 06/09/2017City, Collins Site Address: 838 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 #: B1703046 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 It # of stones Fire Sprklr Com sq R Occ Group Stock plan # Contractor: CUSTOM HEATING 8 AIR, INC 395 DELOZIER DR #120 FORT COLLINS, CO 80524 SubcontractoHst_._-. -1 _ Mechanical CUSTOM HEATING-&AIR,..INC 1. Work Description Install new air conditioner Filmg # Lot # Block # Ind sq ft Const Type _ Stock plan options Basement sq It License # H-1004 Supervisor cart # Phone 970-282-7220 License Number �/- ._,H-1004 Cc SCHEDULE INSPECTIONS: ••• By Phone: 970-221-6769 ••• By Web: http://www.fcgov.com/CltizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Ins ections GL FNM FNP FNE TOTAL FEES PAID AS OF 06109/17: S197.26 Payment method: Credit Card 6906 Fee Detail Displayed on Next Page As a condition for the issuance of a pemdt. I hereby declare that I am the owner or ownWs agent, aulhonaed to perform the proposed work on the properly described herein I agree to comply with all the requirements contained herein, and City ortlmaraes, and Slate laws associated with such work. I understand that such permit may be revoked in the event that rssuanoe was based on bconed infonnabon This pemst shall become null and vdd if the work authorized by such penmt is riot commenced, suspended, abandoned or riot arspected wtthm 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Print Name: ate: 9 Fonn Revised Oct 2010 �t Collins Site Address: 838 ROMA VALLEY DR Job Valuation: $7,656.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: ' B1703046 Issued Full: 06/09/2017 Permit Type: Residential Mechanical Transactions Method Check Number Date Paid Amount Paid Comments 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 Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $147 38 $147 38 06/092017 $0 00 County Sales/Use Tax 100 217030 $24 88 $24 88 06/092017 $0 00 Permit Flat Fee w/o Subs $25 1000 422010 $25 00 $25 00 06/092017 $0 00 TOTAL FEES: $197.26 $197.26 $0.00 TOTAL BALANCE DUE AS OF 06109/2017: 0.00 _1 L--- UOLF Fee Amounts are valid for date of this document only. Fees subject to change without notice.