HomeMy WebLinkAbout3124 Birmingham Dr - Permits/Air Conditioner - 06/29/2018of
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Site Address 3124 BIRMINGHAM DR
Job Valuation $3,859 00 Category Residential
Owner SHADOW CANYON LLC
6051 LAST POINT DR
WINDSOR CO 80550
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 # B1805104
Issued Full 06/29/2018
Permit Type Residential Mechanical
Phone 970-227-2767
Minor Amend # Plat File #
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 #
Right setback Left setback
ZBA Case #
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
Contractor FORT COLLINS HEATING & AIR
208 COMMERCE DR#4 {'
FORT COLLINS CO 80�524� J �7
Subcontractor(s)------j � � `� 1 I
MechanicalL FORT COLLINS HEATING &LAIRD
3
0
Work Description Replace airconditioner
License # H-1309 Supervisor cert #
Phone 970-484-4552
License Number
H 1309.--_
SCHEDULE INSPECTIONS *** By Phone 970-221-6769 *** By Web http //www fcgov com/CitizenAccess
***By Mobile Device htt //www fc ov com/CitizenAccess/mobile
Possible inspections Required 204 302 300 301
TOTAL FEES PAID AS OF 06/29/18 $109.90 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 owner's 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 rf 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 6 Print Name JAUKurml Date �1 [5
Form Revised Oct 2010
City of
F6rt Collins
/***O�
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit # B1805104
Issued Full 06/29/2018
Permit Type Residential Mechanical
Site Address 3124 BIRMINGHAM DR
Job Valuation $3,859 00 Category Residential
Transactions
Method Check Number Date Paid
Trust Account 06/29/2018
Receipt issued 06/29/2018 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
TOTAL FEES
Amount Paid
$109 90
$109 90
Fee Amount
Amount Paid
$74 29
$74 29
$10 61
$10 61
$25 00
$25 00
Date Paid
Amount Due
06/29/2018
$0 00
06/29/2018
$0 00
06/29/2018
$0 00
$109 90 $109 90 $0 00
�5
,--TOTAL BALANCE DUE AS OF 06/29/2018 0 00
i
Fee Amounts are valid for date of this document only Fees subject to change without notice