HomeMy WebLinkAbout1020 Rolland Moore Dr - Permits/Furnace - 12/09/2016�ot
t Collins
Site Address: 1020 ROLLAND MOORE DR, 4 E
Job Valuation: $1,790.00 Category: Residential
Owner: HMG PROPERTIES LLC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607358
Issued Full: 12/09/2016
Permit Type: Residential Mechanical
1433 MEEKER DR
FORT COLLINS, CO 80524 Phone: 970-482-2842
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractorls)�
Mechanical: NOR 1THERN _COLOR_ADO_AIR_ NC
[IF
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Work Description: Replace furnac`e'80%.
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: H-837
Phone: 970-223-8873
Basement sq ft:
Supervisor cert #:
License Number
❑ H-837
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/09/16: $65.28 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
F6rtCollins
Site Address: 1020 ROLLAND MOORE DR, 4 E
Job Valuation: $1,790.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 12/09/2016 $65.28
Receipt issued: 12/09/2016 Total Paid to Date: $65.28
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $34.46
County Sales/Use Tax 100.217030 $5.82
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607358
Issued Full: 12/09/2016
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$34.46 12/09/2016 $0.00
$5.82 12/09/2016 $0.00
$25.00 12/09/2016 $0.00
TOTAL FEES: $65.28 $66.28 $0.00
TOTAL BALANCE DUE AS OF 12/0912016: 0.00
�i
L 0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.