HomeMy WebLinkAbout612 MORSMAN DR - PERMITS - 7/13/2016Wit`
- I Collins
Site Address: 612 MORSMAN DR
Job Valuation: $2,890.00 Category: Residential
Owner: HARGADINE RANDEL C/KAREN S
612 MORSMAN DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603976
Issued Full: 07/13/2016
Permit Type: Residential Mechanical
Phone: 970-229-9728
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan
Contractor: R & H HTG & A/C, INC
201 SMOKEY ST'
FORT COLLINS,,CO 80525,
Work Description: Replace Air Conditioner
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1831 Supervisor cert #:
Phone: 970-226-3619
Phbne
License Number
970-226'-3619 -
J
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
lInspections: GL FNIVI FNP FNE
TOTAL FEES PAID AS OF 07/13/16: $90.02 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 16 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
F6rt-Collins
/0000,
Site Address: 612 MORSMAN DR
Job Valuation: $2,890.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 07/13/2016 $90.02
Receipt issued: 07/13/2016 Total Paid to Date: $90.02
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $55.63
County Sales/Use Tax 100.217030 $9.39
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1603976
Issued Full: 07/13/2016
Permit Type: Residential Mechanical
Def-TI—MITTRIM
Paid Date Paid Amount Due
$55.63 07/13/2016 $0.00
$9.39 07/13/2016 $0.00
$25.00 07/13/2016 $0.00
$90.02 $90.02
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.