HomeMy WebLinkAbout604 LOUISE LN - PERMITS - 6/25/2012Ft Collins
Site Address: 604 LOUISE LN
Job Valuation: $6,846.03 Category: Residential
Owner: SCULLY ELIZABETH A/DANIEL L
604 LOUISE LN
FORT COLLINS, CO 80521
Zoning: Front setback:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203844
Issued Full: 06/26/2012
Permit Type: Residential Mechanical
Phone: 970-221-1728
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POUDRE VALLEY.AIRJ ,
2416 DONELLA CT #A : -
FORT COLLINS;,CO 80524
Subcontractor(s)� l
Mechanical: POUDRE VALLEY AIR
0
Work Description: REPLACE FURNACE AND INSTAL
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
CON
Basement sq ft:
License #: H-835 Supervisor cert#:
Phone: 970-493-2050
License Number
(� H-835
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/25/12: $50.00 Payment method: Trust Account
** Fee Debit 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.
Sp JUN 2 5 2012
Signature:
Print Name: Ll!► �� Date:
Form Revised Oct2010
I�.,Fo��r'fCollins
Site Address: 604 LOUISE LN
Job Valuation: $6,846.03 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 06/25/2012 $50.00
Receipt issued: 06/25/2012 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $25 1000.422010 $50.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 fax
Building Permit #: B1203844
Issued Full: 06/26/2012
Permit Type: Residential Mechanical
Comments
POUDRE TRUST
Amount Paid Date Paid Amount Due
$50.00 06/25/2012 $0.00
TOTAL FEES: $50.00 $50.00 $0.00
TOTAL BALANCE DUE AS OF 06/26/2012: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.