HomeMy WebLinkAbout928 W LAKE ST - PERMITS - 1/3/2011of
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Site Address: 928 W LAKE ST
Job Valuation: $1,506.00 Category: Residential
Owner: WAGNER, HARRY G/JANALEE
924 W LAKE ST
FORT COLLINS, CO 80521
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1100008
Issued Full: 01/03/2011
Permit Type: Residential Mechanical
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTH. COLORADO.AIR
812 STOCKTON AVE \"
FORT COLLINS, CO 80524
Subcontractor(sj r Phone
Mechanical: NORTH.,COL-ORADO AIR`, I J a 970-223-8873---- , _
Work Description: REPLACE FURNACE -
Filing #: Lot #: 2 Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #:
Basement sq ft:
H-837 Supervisor cert #:
Phone: 970-223-8873
License Number
�1 1I
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I ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 01/03/11: $15.00 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 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 p ermiL
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Ef'p J,qN 0 3 2011
Signature: Print Name: L WO( Date:
Form Revised Oct 2010
Site Address: 928 W LAKE ST
Job Valuation: $1,506.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 01/03/2011
Receipt issued: 01/03/2011 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
Amount Paid
$15.00
$15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1100008
Issued Full: 01/03/2011
Permit Type: Residential Mechanical
Comments
NORTHERN COLORADO AIR TRUST
Fee Amount Amount Paid Date Paid
$15.00 $15.00 01/03/2011
$15.00 $15.00
- TOTAL BALANCE DUE AS OF 01/03/2011:
{
Amount Due
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.