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970.221.676o 970.224.6134 -fax
Address: 613 FLAGLER RD
Valuation: $7,030.00 Category: Residential
er: MACHALA JOSEPH W
613 FLAGLER RD
FORT COLLINS, CO 80525
Phone:
Building Permit #: B1304896
Issued Full: 09/17/2013
Permit Type: Residential Mechanical
ng: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
I
I: Subdivision/PUD:
Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
tor: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
' echanical: PRE VALLEY AIR
O
Work Description: Replace furnace and a/c unit
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License M H-835 Supervisor cert #:
Phone: 970-493-2050
t License Number
-2050 ❑ H-835
O
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 09/17113: $25.00 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 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 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:
rt O Ins 970.221.676o 970.224.6134 -fax
Building Permit #: B1304896
..� Issued Full: 09/17/2013
Permit Type: Residential Mechanical
Address: 613 FLAGLER RD
Valuation: $7,030.00 Category: Residential
Account 09/17/2013 $25.00
ipt issued: 09/17/2013 Total Paid to Date: $25.00
Description Account Code Fee Amount Amount Paid Date Paid
t Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 09/17/2013
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 09/17/2013:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.