HomeMy WebLinkAbout1920 W Lake St - Permits/Furnace - 01/25/2017F6r``�t Collins
Site Address: 1920 W LAKE ST
Job Valuation: $1,862.00 Category: Residential
Owner: TARANOW RICHARD N
2731 GRANADA HILLS DR
FORT COLLINS 80525
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 #: B1700367
Issued Full: 01/26/2017
Permit Type: Residential Mechanical
Phone: 970-213-6600
Right setback: Left setback:
Minor Amend #: 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: DC SHORTRIDGE DBA GARY HOOLEY HTG 8 License #: H-1654 Supervisor cert#: 1952-H
AIR
1314 WEBSTER(AVE InnIII ) I Phone: 970-493-3272
FORI T COL-L-INS, C080524U
l
Subcontractor(s) IFLIC;Ph:onel., ❑ License Number
Mechanical: DC SHORT DIR GE DBA-GARY HOO
Work Description: Replace
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 01/25/17: $66.89 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
of
City Collins
Site Address: 1920 W LAKE ST
Job Valuation: $1,862.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 01/25/2017 $66.89
Receipt issued: 01/25/2017 Total Paid to Date: $66.89
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o .970.224.6134 -.fax
Building Permit #: B1700367
Issued Full: 01/26/2017
Permit Type: Residential Mechanical
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $35.84 $35.84
County Sales/Use Tax 100.217030 $6.05 $6.05
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$66.89 $66.89
Date Paid
01/25/2017
01/25/2017
01/25/2017
�\ L
(\ TOTAL BALANCE DUE AS OF 01/25/2017:
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.