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Home My WebLink About636 PETERSON ST - PERMITS - 11/8/2011City of F6rt Collins Site Address: 636 PETERSON ST Job Valuation: $3,417.16 Category: Residential Owner: PEEK, JOHN L/JANA M 636 PETERSON ST FORT COLLINS, CO 80524-3134 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1110107 Issued Full: 11/08/2011 Permit Type: Residential Mechanical Phone: 970-310-7187 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: POUDRE VALLEY AIR 2416 DONELLA CT #A FORT COLLINS, CO 80524 Subcontractor(s)-- ---: Mechanical: POUDRE VALLEY AIR j Work Description: REPLACE FURNACE Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: H-835 Supervisor cert#: Phone: 970-493-2050 Phone License Number 970-493-2050 - - . �- H-835- II ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess ** III Inspections: GL FNM FNP FNE TOTAL FEES PAID AS OF 11/08/11: $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 permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Sfllf T N 0 V 0"8 2011 print Name: C0nhC Lly(— Date: Form Revised Oct 2010 City of Community Development & Neighborhood Services Fort Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1110107 Issued Full: 11/08/2011 Permit Type: Residential Mechanical Site Address: 636 PETERSON ST Job Valuation: $3,417.16 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 11/08/2011 $15.00 POUDRE TRUST Receipt issued: 11/08/2011 Total Paid to Date: $15.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Permit Flat Fee w/o Subs $15 1000.422010 $15.00 $15.00 11/08/2011 $0.00 TOTAL FEES: $15.00 $15.00 $0.00 TOTAL BALANCE DUE AS OF 11/08/2011: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.