HomeMy WebLinkAbout901 DRIFTWOOD DR - PERMITS - 7/13/2016F-1t`
Site Address: 901 DRIFTWOOD DR
Job Valuation: $3,800.00 Category: Residential
Owner: BUTLER RONALD W
901 DRIFTWOOD DR
FORT COLLINS, CO 80525-3106
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603962
Issued Full: 07/13/2016
Permit Type: Residential Mechanical
Phone: 469-733-4562
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
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: R & H HTG & A/C, INC License #: H-1831 Supervisor cert#:
201 SMOKEY ST
FORT COLLINS, CO 80525 Phone: 970-226-3619
Phone
970-226-3619
Work Description: Replacement of existing air conditioner
ISCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 07113/16: $110.50 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: Print Name:
Date:
Form Revised Oct 2010
City of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
i. 970.221.676o 970.224.6134 -fax
F6rt Collins
Building Permit #: B1603962
Issued Full: 07/13/2016
i
Permit Type: Residential Mechanical
Site Address: 901 DRIFTWOOD DR
Job Valuation: 3 800.00 Category: Residential
a Method Check Number Date Paid Amount Paid Comments
Trust Account 07/13/2016 $110.50
Receipt issued: 07/13/2016 Total Paid to Date: $110.50
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $73.15 $73.15
County Sales/Use Tax 100.217030 $12.35 $12.35
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
$110.60 $110.60
Date Paid
Amount Due
07/13/2016
$0.00
07/13/2016
$0.00
07/13/2016
$0.00
$0.00
A
Fee Amounts are valid for date of this document only. Fees subject to change without notice.