HomeMy WebLinkAbout808 E LAKE ST - PERMITS - 5/30/2013Frt Collins
Site Address: 808 E LAKE ST
Job Valuation: $2,064.00 Category: Residential
Owner: BUSHNELL JUDITH ANN REVOCABLE
812 E LAKE ST
FORT COLLINS, CO 80524-4206
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1302575
Issued Full: 05/30/2013
Permit Type: Residential Mechanical
Phone: 970-493-9674
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:
Code: Res sq ft: Coro sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractors)—��
Mechanical: NORTHERN COLORADO AIR INC
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Work Description: Remdve existing furnace and replace -wit
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837 Supervisor cart #:
Phone:970-223-8873
new
License Number
8873 H-837
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/30/13: S25.00 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 owneror 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 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.
ENtEREn MAY.,)
Signature: Print Name:
Date:
Form Revised Oct 2010
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Site Address: 808 E LAKE ST
Job Valuation: $2,064.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 05/30/2013 $25.00
Receipt issued: 05/30/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1302575
Issued Full: 05/30/2013
Permit Type: Residential Mechanical
Comments
Paid by NORTHERN COLORADO AIR INC, trust H-837.
Amount Paid Date Paid Amount Due
$25.00 05/30/2013 $0.00
TOTAL FEES: $25.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF W30/2013: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010