HomeMy WebLinkAbout3401 Camelot Dr - Permits/Furnace - 12/08/2016F`rfCollins
Site Address: 3401 CAMELOT DR
Job Valuation: $2,200.00 Category: Residential
Owner: LEHMAN PATRICIA A
200 FANN RD
NOLENSVILLE. TN 37135
Zoning: Front setback: Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1607340
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
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Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing* Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY.AIR
2416 DONELLA,CT#A- _.
FORT COLLINS, CO 80524,� ; r
Subcontractor(s)� Phone
Mechanical: POUDRE VALLEY AIR 970�493-2050
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Work Description: Furnace Installation,
License #: H-835 Supervisoir cert#:
Phone: 970-493-2050
License Number
H-835
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/08/16: $74.50 Payment method: Trust Account
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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:
Forth Revised Oct 2010
FfCollins
Site Address: 3401 CAMELOT DR
Job Valuation: $2,200.00 Category: Residential
Transactions
Trust Account 12/08/2016 $74.50
Receipt issued: 12/08/2016 Total Paid to Date: $74.50
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $42.35
County Sales/Use Tax 100.217030 $7.15
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607340
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
Amount Paid Date Paid Amount Due
$42.35 12/08/2016 $0.00
$7.15 12/08/2016 $0.00
$25.00 12/08/2016 $0.00
TOTAL FEES: $74.50 $74.60 $0.00
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;l TOTAL BALANCE DUE AS OF 12/08/2016: 0. 00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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