HomeMy WebLinkAbout615 MATHEWS ST - PERMITS - 10/26/2017rfCollins
Site Address: 615 MATHEWS ST
Job Valuation: $730.01 Category: Residential
Owner: HAHN JAMES M/MOLLY B
2706 MICHENER 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 #: B1707051
Issued Full: 10/26/2017
Permit Type: Residential Mechanical
Phone: 970-215-5833
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #
Contractor: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: POUDRE VALLEY AIR
Work Description: Replace furnace.
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: H-835
Phone: 970-493-2050
Phone
970-493-2050
Basement sq ft:
Supervisor cart #:
License Number
H-835
SCHEDULE 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 10/26/17: $41.42 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 K 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
FF:16,0§qk
City 0 f Community Development & Neighborhood Services
rt Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1707051
Issued Full: 10/26/2017
Permit Type: Residential Mechanical
Site Address: 615 MATHEWS ST
Job Valuation: $730.01 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 10/26/2017 $41.42
Receipt issued: 10/26/2017 Total Paid to Date: $41.42
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $14.05
County Sales/Use Tax 100.217030 $2.37
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Amount Paid Date Paid Amount Due
$14.05 10/26/2017 $0.00
$2.37 10/26/2017 $0.00
$25.00 10/26/2017 $0.00
$41.42 $41.42
TOTAL BALANCE DUE AS OF 10/26/2017:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.