HomeMy WebLinkAbout412 LILAC LN - PERMITS - 6/14/2019arof
t Collins
Site Address: 412 LILAC LN
Job Valuation: $8,388.12 Category: Residential
Owner: LOPEZ PEDRO A
412 LILAC LN
FORT COLLINS, CO 80524-2926
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1904194
Issued Full: 06/14/2019
Permit Type: Residential Mechanical
Phone: 808-341-9791
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: FORT COLLINS HEATING &AIR
208 COMMERCE DR#4 --
FORT COLLINS, CO 86524
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1309
Phone: 970-484-4552
Supervisor cert#:
t ,
Subcontractors) _ : ! Phone j n r License Number
Mechanical FORT COLLINS HEATING_&iAIR7 r 970 484 4552-1309
% � I
Work Description: Install mini -splits. -
e .r-
II SCHEDULE INSPECTIONS: ** via Text Message: 888406-6394 ** By Phone: 970-221-6769
Online II
** ine Portal: fcqov.com/CitizenAccess ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobile
IlPossible Inspections Required: 204 302 300 301 II
- TOTAL FEES PAID AS OF 06114/19: $220.02 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 15 feet of each bedroom entrance.
Signa Qe4. Print Name: Date:
Fo Revised Oct 2010
�.F�ort Collins
Site Address: 412 LILAC LN
Job Valuation: $8,388.12 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 06/14/2019 $220.02
Receipt issued: 06/14/2019 Total Paid to Date: $220.02
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $161.47
County Sales/Use Tax 100.217030 $33.55
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
F�
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1904194
Issued Full: 06114/2019
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$161.47 06/14/2019 $0.00
$33.55 06/14/2019 $0.00
$25.00 06/14/2019 $0.00
$220.02 $220.02
$0.00
TOTAL BALANCE DUE AS OF 06/14/2019: 0.00
LJ
Fee Amounts are valid for date of this document only. Fees subject to change without notice.