HomeMy WebLinkAbout1119 Mansfield Dr - Permits/Furnace - 12/07/2017ot
F6rt�.Collins
Site Address: 1119 MANSFIELD DR
Job Valuation: $4,357.36 Category: Residential
Owner: DURAN GRETCHEN E/ISAAC C JR
1119 MANSFIELD DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708329
Issued Full: 12/07/2017
Permit Type: Residential Mechanical
Phone: 970-689-7005
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: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: POUDRE VALLEY AIR
Work Description: Installation of furnace.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-835
Phone: 970493-2050
Phone
970-493-2050
Supervisor cert#:
License Number
H-835
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
IlPossible Inspections Recuired: 204 302 300 301 II
TOTAL FEES PAID AS OF 12107117: $123.04 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 16 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
of
City Collins
Site Address: 1119 MANSFIELD DR
Job Valuation: $4,357.36 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708329
Issued Full: 12/07/2017
Permit Type: Residential Mechanical
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 12/07/2017
$123.04
Receipt issued: 12/07/2017 Total Paid to Date:
$123.04
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$83.88
$83.88
12/07/2017
$0.00
County Sales/Use Tax 100.217030
$14.16
$14.16
12/07/2017
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
12/07/2017
$0.00
TOTAL FEES:
$123.04
$123.04
$0.00
TOTAL BALANCE DUE AS OF 12/07/2017: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.