HomeMy WebLinkAbout1440 Pikes Peak Ave - Permits/Air Conditioner - 08/08/2017 (2)city of
F6rt Collins
Site Address: 1440 PIKES PEAK AVE
Job Valuation: $2,037.00 Category: Residential
Owner: ROEMMICH JENNIFER MICHELLE
1318 S COLLEGE AVE
FORT COLLINS, CO 80524-4174
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1704443
Issued Full: 08/08/2017
Permit Type: Residential Mechanical
Phone: 420-2905
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: POUDRE VALLEY AIR License #: H-835 Supervisor cert #:
2416 DONELLA CT #A
FORT COLLINS, CO 80524 Phone: 970-493-2050
Subcontractors) Phone License Number
Mechanical: POUDRE VALLEY AIR 970-493-2050 H-835
Work Description: Replace 2 of air conditioners
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 08/08/17: $70.83 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
C'}" O� Community Development&Neighborhood Seruices
Fort Coll i n s 281 N. Col(ege Aue Fori Collins, CO 80522
97o.22i.6�6o 9�0.224.6i34 -f�
Building Permit#: B1704443
Issued Full: 08/0812017
Permit Type: Residential Mechanical
�' Site Address: 1440 PIKES PEAK AVE
� Job Valuation: 2 037.00 Category: Residential
s
Transactions
F Method Check Number Date Paid Amount Paid Comments
TrustAccount 08/08/2017 $70.83
Receipt issued: 08/08/2017 Total Paid to Date: $�0.83
•: Fee Descriqtion Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $39.21 $39.21 08/08/2017 $0.00
County Sales/Use Tax 100.217030 $6.62 $6.62 08/OS/2017 $0.00
s Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 08/OS/2017 $0.00
TOTAL FEES: $70.83 $70.83 $0.00
TOTAL BALANCE DUE AS OF 08/08/2017: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.