HomeMy WebLinkAbout4524 Seaway Cir - Permits/Mechanical - 08/16/2011�of
t Collins
Site Address: 4524 SEAWAY CIR
Job Valuation: $5,162.37 Category: Residential
Owner: BLAESI, LAVON FAE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1105049
Issued Full: 08/16/2011
Permit Type: Residential Mechanical
4524 SEAWAY CIR
FORT COLLINS, CO 80525 Phone: 970-223-2403
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:
# of stories
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY-AIRJ
2416DONELLA,CT#A r 1,lC11 �l
FORT COLLINS, CO 80524'
Subcontractor(s)�
Mechanical: POUDRE VALLEY AIR
Work Description: REPLACE FURNACE AND AIR CC
License M H-835
Phone: 970-493-2050
TOTAL FEES PAID AS OF 08/16/11: $15.00 Payment method: Trust Account
Fee Detail Displayed on Next Page
Supervisor cart #:
License Number
❑ H-835
Asa condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authored 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.
SHIP'D AUG 16 2011
Signature: Print Name: W l lk Date:
Form Revised Oct 2010
/0010"FoCollinsty of
�Sirt
Site Address: 4524 SEAWAY CIR
Community Development& Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1105049
Issued Full: 08/16/2011
Permit Type: Residential Mechanical
Job Valuation: $5,162.37 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account .08/16/2011 $15.00 POUDRE VALLEY TRUST ACCT
Receipt issued: 08/16/2011 Total Paid to Date: $15.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $15 1000.422010 $15.00 $15.00 08/16/2011 $0.00
TOTAL FEES:
$15.00 $15.00
TOTAL BALANCE DUE AS OF 08/16/2011
L
CD U
$0.00
IM-0