HomeMy WebLinkAbout2631 Antelope Rd - Permits/Air Conditioner - 12/08/2016City of
FCollins
Site Address: 2631 ANTELOPE RD
Job Valuation: $3,493.38 Category: Residential
Owner: THOELKE SANDRA D
2631 ANTELOPE RD
FORT COLLINS, CO 80525
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607331
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
Phone: 970-229-0476
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
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 ,
2416 DON ELLA CT'#A -
' _
FORT COLLINS, CO 80524'
Subcontractorls
Mechanical: POUDRE VALLEY AIR
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Work Description: Replace Air.Conditioner.
License #: H-835 Supervisor 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: $103.60 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:
Forth Revised Oct 2010
�ot
t Collins
Site Address: 2631 ANTELOPE RD
Job Valuation: $3,493.38 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 12/08/2016
Receipt issued: 12/08/2016 Total Paid to Date:
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
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.62x
Building Permit #: B1607331
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
Amount Paid
$103.60
Comments
$103.60
Fee Amount
Amount Paid
Date Paid
Amount Due
$67.25
$67.25
12/08/2016
$0.00
$11.35
$11.35
12/08/2016
$0.00
$25.00
$25.00
12/08/2016
$0.00
TOTAL FEES: $103.60 $103.60 $0.00
v
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.