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Home My WebLink About624 SMITH ST - PERMITS - 9/23/2015City Of Community Development & Neighborhood Services Fort Collins 281 N. College Ave Fort Collins, CO 8o522 97o.221.676o 970.224.6134 -fax Site Address: 624 SMITH ST Job Valuation: $4,375.00 Category: Residential Owner: JANSEN SETH A 624 SMITH ST FORT COLLINS, CO 80524 Building Permit #: B1506965 Issued Full: 09/23/2016 Permit Type: Residential Mechanical Phone: 970-420-4761 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: _ Ind sq ft: Basement sq ft: # of stories: Occ Group: _ Fire Sprklr: Stock plan M _ Contractor: A TEAM HEATING & AIR LLC 2217 6th St SW LOVELAND, CO 80537 Subcontractor(s)- Mechanical: A TEAM HEATING & AIR LLC Const Type: Stock plan options: License M H-2006 Phone: 970-420-4761 Phone 970=420-4761 Work Description: Replace 80% furnace with 90% with new..flue liner for water heater. Supervisor cert#: II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: GL FNM FNP FNE TOTAL FEES PAID AS OF 09/23115: $123.44 Payment method: Credit Card 5642 " 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 assodated 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 Namd—- 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 #: B1506965 Issued Full: 09/23/2015 Permit Type: Residential Mechanical Site Address: 624 SMITH ST Job Valuation: $4,375.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK# 5642 09/23/2015 $123.44 Receipt issued: 09/23/2015 Total Paid to Date: $123.44 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $84.22 $84.22 09/23/2015 $0.00 County Sales/Use Tax 100.217030 $14.22 $14.22 09/23/2015 $0.00 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 09/23/2015 $0.00 TOTAL FEES: $123.44 $123.44 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.