HomeMy WebLinkAbout1523 W Mountain Ave - Permits/Furnace - 07/11/2017F-1fCollins
Site.Address: 1523 W MOUNTAIN AVE
Job Valuation: $6,003.32 Category: Residential
Owner: BIRNER THOMAS
1523 W MOUNTAIN AVE
FORT COLLINS, CO 80521-2307
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1703715
Issued Full: 07/11/2017
Permit Type: Residential Mechanical
Phone: 970-988-7455
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: FORT COLLINS HEATING & AIR
Work Description: Replace furnace.
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License#: H-1309 Supervisorcert#:
Phone: 970-484-4552
Phone License Number
970-484-4552 H-1309
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Insoections: GL FNM FNP FINE
TOTAL FEES PAID AS OF 07/11/17: $160.07 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�ty �f Community Deuelopment&Neighborhood Seruices
Fort Coll i ns 281 N. CollegeAve Fort Collins, CO 80522
97o.22i.6�6o 9yo.224.6i34 -f�
Building Permit#: B1703715
� Issued Full: 07/11/2017
Permit Type: Residential Mechanical
° Site Address: 1523 W MOUNTAIN AVE
Job Valuation: 6 003.32 Category: Residential
• Transactions
; Method Check Number pate Paid Amount Paid Comments
� Trust Account 07/11I2017 $160.07
' Receipt issued: 07/11/2017 Total Paid to Date: 5160.07
; Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $115.56 $115.56 07/11/2017 $0.00
„ County Sales/Use Tax 100.217030 $19.51 $19.51 07/11/2017 $0.00
- Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 07/11/2017 $0.00
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TOTAL FEES: $160.07 $160.07 $0.00
TOTAL BALANCE DUE AS OF 07/11/2017: 0.00
,
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Fortn Revised Oct 2010