HomeMy WebLinkAbout1554 Birmingham Dr - Permits/Air Conditioner - 08/19/2019Noll Ly V 1 281 N. College Ave Fort Collins, CO 8o522
Fort Collins 970.221.676o 970.224.6134 -fax
Building Permit #: B1907676
Issued Full: 08/19/2019
Permit Type: Residential Mechanical
Site Address: 1554 BIRMINGHAM DR
Job Valuation: $1,437.29 Category: Residential
Owner: STEGNER PHILIP/LAURIE L
1554 BIRMINGHAM DR
FORT COLLINS, CO 80526-4268
Phone: 970-219-6528
Zoning: Front setback: Rear setback:
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 sci ft: Com sci ft:
Ind sci ft:
Basement sci ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan M
Stock plan options:
Contractor: POUDRE VALLEY AIR
License #: H-835
Supervisor cert#:
2416 DONELLACT#A
FORT COLLINS, CO 80524
Phone: 970-493-2050
Subcontractor(s`)—_—_ I.
--Phone
I r License Number
Mechanical: j l POUDRE VALLEY AIR
970=49W050
H-835
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W6i•k Description: Replace aircohditioner.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fc ov.com/CitizenAccess/mobile
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 08/19/19: $68.42 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 Revised Oct 2010
28i N. College Ave Fort Collins, CO 80522
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970.221.676o 970.224.6134 -fax
Building Permit #: B1907676
Issued Full: 08/19/2019
Permit Type: Residential Mechanical
ite Address: 1554 BIRMINGHAM DR
:)b Valuation: $1,437.29 Category: Residential
Transactions
Method Check Number Date PaidAmount Paid
Trust Account 08/19/2019 $58.42
Receipt issued: 08/19/2019 Total Paid to Date: $58.42
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $27.67
County Sales/Use Tax 100.217030 $5.75
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
r
Amount Paid
Date Paid
Amount Due
$27.67
08/19/2019
$0.00
$5.75
08/19/2019
$0.00
$25.00
08/19/2019
$0.00
$58.42 $58.42 $0.00
TOTAL BALANCE DUE AS OF 08/19/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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