HomeMy WebLinkAbout615 W LAKE ST - PERMITS - 9/30/2015Fo��r'fCollins
Site Address: 615 W LAKE ST
Job Valuation: $2,770.00 Category: Residential
Owner: RESEARCH FOUNDATION (CSURF)
PO BOX 483
FORT COLLINS 80522
Phone:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1505706
Issued Full: 09/30/2016
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: Filing #: Lot #: Block M
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: HAHN PLUMBING & HEATING License #: MP-15
130 CHESTNUT ST
FORT COLLINS, CO 80524 Phone: 970-484-7668
Subcontractor(s) Phone
Plumbing: ! HAHN PLUMBING & HEATING 970-484-7668
Work Description: Replace air conditioner
Supervisor cert#:
License Number
MP-15.. _
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http:/Iwww.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 09/30/15: $87.32 Payment method: Check 66327
`* 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.
Print Name: / � . Date: 9'_3 D -/-5-
Form Revised Oct 2010
Community Development & Neighborhood Services
[ins
281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1505706
Issued Full: 09/30/2015
Permit Type: Residential Mechanical
Site Address: 615 W LAKE ST
Job Valuation: $2,770.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Check CK# 66327 09/30/2015
$87.32
Paid by Hahn Plumbing. ck# 66327
Receipt issued: 09/30/2015 Total Paid to Date:
$87.32
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$53.32
$53.32
09/30/2015
County Sales/Use Tax 100.217030
$9.00
$9.00
09/30/2015
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
09/30/2015
TOTAL FEES:
$87.32
$87.32
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.