HomeMy WebLinkAbout411 W Myrtle St - Permits/Mechanical - 01/11/2018F6rt Collins
Site Address: 411 W MYRTLE ST
Job Valuation: $4,500 00 Category: Residential
Owner: ACERS LADANA K
PO BOX 2125
LOVELAND, CO 80539
Zoning: Front setback
Rear setback
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1800274
Issued Full: 01/11/2018
Permit Type: Residential Mechanical
Phone 303-594-9192
Right setback I Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft
# of stones
Fire Sprklr
Com sq ft
Occ Group
Stock plan #
Contractor:
` t
Filing # Lot # Block #
Ind sq ft
Const Type _
Stock plan options
License #
Phone
Subcontractors)
Phone
v
O [F
Work Description New install omini-split system Hom owner�ffidavit
Basement sq ft
Supervisor cert#
License Number
O
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible inspections Required 204 302 300 301
TOTAL FEES PAID AS OF 01/11/18: $124.01 Payment method: Credit Card 2669
** Fee Detail Displayed on Next Page
As a condition for the issuance of a pernd, I hereby dedare that I am the owner or owner's agent, authonzed 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 pernd may be
revoked in the event that issuance was based on intoned information This permit shall become null and void if the work authonzed by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
Carbon Monoxide Alarm required
15 feet of each bedroom entrance.
Signature: G=✓ Print Name: �!(�t Date:
Form Revised Oct 2010
/40.F�o-rfCollins
Site Address: 411 W MYRTLE ST
Job Valuation: $4,500 00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK#2669 01/11/2018 $12401
Receipt issued: 01/11/2018 Total Paid to Date: $12401
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $25 1000 422010
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1800274
Issued Full: 01/11/2018
Permit Type: Residential Mechanical
Comments
Dana Acers paid by CC
Fee Amount
Amount Paid
$86 63
$86 63
$12 38
$12 38
$25 00
$25 00
$124.01 $124.01
Date Paid
Amount Due
01/11/2018
$0 00
01/11/2018
$0 00
01/11/2018
$0 00
$0.00
t TOTAL BALANCE DUE AS OF 01/11/2018: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.