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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.