HomeMy WebLinkAbout216 Annabel Ln - Permits/Furnace - 01/30/2019�F�ort Collins
Site Address: 216 ANNABEL LN
Job Valuation: $947.95 Category: Residential
Owner: BERGQUIST ERIN
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900602
Issued Full: 01/30/2019
Permit Type: Residential Mechanical
216 ANNABEL LN
FORT COLLINS, CO 80525-2547 Phone: 970-217-6170
Zoning: Front setback: Rear setback: Right setback: Left setback:.
Minor Amend M 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 DONELLACT#A
FORT COLLINS, CO 80524 Phone: 970-493-2050
Subcontractor(-) j "_Phone License Number
Mechanical POUDRE VALLEY AIRS / 970-493-2050--_, j r—� H 835—
LEI
Work Description: Replace furnace. =`
SCHEDULE INSPECTIONS: ** Text Message: 888406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Reouired: 204 302 300 301
TOTAL FEES PAID AS OF 01/30/19: $47.04 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 owner's 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 maybe
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
F6Collinsrt
Site Address: 216 ANNABEL LN
Job Valuation: $947.95 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 01/30/2019 $47.04
Receipt issued: 01/30/2019 Total Paid to Date: $47.04
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134-fax
Building Permit #: B1900602
Issued Full: 01/30/2019
Permit Type: Residential Mechanical
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $18.25 $18.25
County Sales/Use Tax 100.217030 $3.79 $3.79
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$47.04 $47.04
Date Paid
Amount Due
01/30/2019
$0.00
01/30/2019
$0.00
01/30/2019
$0.00
TOTAL BALANCE DUE AS OF 01/30/2019:
_
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.