HomeMy WebLinkAbout433 N Roosevelt Ave - Permits/Furnace - 03/06/2017F6rt Collins
Site Address: 433 N ROOSEVELT AVE
Job Valuation: $1,840.00 Category: Residential
Owner: MORGAN MARTHA A
433 N ROOSEVELT AVE
FORT COLLINS, CO 80521
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1701066
Issued Full: 03/0612017
Permit Type: Residential Mechanical
Phone:970-980-8804
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: R & H HTG & A/C, INC. _
201 SMOKEY STD
FORT COLLINS, CO 80525
Rear setback:
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1831 Supervisor cert#:
Phone:970-226-3619
Subcontractorlsl-_1 j
Mechanical: R & H HT _&_\ INC^
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Work Description: Replace furnace-
.
License Number
1 � ❑ 1831�
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II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http:/Iwww.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/06/17: $66.40 Payment method: Trust Account
** Fee Derail 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 oontained 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
ins
Site Address: 433 N ROOSEVELT AVE
Job Valuation: $1,840.00 Category: Residential
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701066
Issued Full: 03/06/2017
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid
Trust Account 03/03/2017
Amount Paid
$66.40
Comments
Receipt issued: 03/06/2017 Total Paid to Date:
$66.40
Fee Description Account Code
Fee Amount
Amount Paid
City Sales/Use Tax 251.122030
$35.42
$35.42
County Sales/Use Tax 100.217030
$5.98
$5.98
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
Date Paid
Amount Due
03/03/2017
$0.00
03/03/2017
$0.00
03/03/2017
$0.00
TOTAL FEES: $66.40 $66.40 $0.00
TOTAL BALANCE DUE AS OF 03/06/2017: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.