HomeMy WebLinkAbout1917 S Shields St - Permits/Furnace - 03/13/2017City of
F,.�ort Collins
Site Address: 1917 S SHIELDS ST. L 4
Job Valuation: $1,030.00 Category: Residential
Owner: NEW COLONY LTD
12472 CIRCULA PANORAMA
SANTA ANA. CA 92705-1364
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 #: B1701280
Issued Full: 03/13/2017
Permit Type: Residential Mechanical
Phone:970-484-7754
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: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: R & H HTG & A/C, INC . .
201 SMOKEY ST/
FORT COLLINS, CO 86525,
Subcontractorls� = j Phone Ind
Mechanical: R & H HTG-&. \ , INC 970 226 3619 — \
1
1 ,
Work Description: Replace furnace: —
Filing M Lot #: Block #:
Ind sq ft: _
ConstType: _
Stock plan options:
Basement sq ft:
License* H-1831
Phone:970-226-3619
Supervisor cert#:
License Number
❑ �� ,H-1831-
J
II SCHEDULE INSPECTIONS: •" By Phone: 970-221-6769 "• By Web: http://www.fcgov.com/CitizenAccess I�
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
InsDections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/13/17: $48.18 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 contained herein, and City ordinances, and State taws 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
City of
.City Collins
Site Address: 1917 S SHIELDS ST. L 4
Job Valuation: $1,030.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 03113/2017 $48.18
Receipt issued: 03/13/2017 Total Paid to Date: $48.18
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Pennit #: B1701280
Issued Full: 03/13/2017
Permit Type: Residential Mechanical
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $19.83 $19.83
County Sales/Use Tax 100.217030 $3.35 $3.35
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES: $48.18 $48.18
Date Paid
Amount Due
03/13/2017
$0.00
03/13/2017
$0.00
03/13/2017
$0.00
$0.00
TOTAL BALANCE DUE AS OF 03/13/2017: 0.00
I If
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.