HomeMy WebLinkAbout5227 Keystone Creek Ct - Permits/Furnace - 04/11/2014Fort -Collins
Site Address: 5227 KEYSTONE CREEK CT
Job Valuation: $3,000.00 Category: Residential
Owner: THILL DOUGLAS M
5227 KEYSTONE CREEK CT
FORT COLLINS, CO 80528
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1401715
Issued Full: 04/11/2014
Permit Type
Phone: 970-223-8432
Residential Mechanical
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: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s)__�
Mechanical: I NORTHERN_COLORADO_AIRIINC
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Work Description: Replace funrace 95%
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: H-837
Phone: 970-223-8873
Basement sq ft:
Supervisor cert#:
License Number
❑ �� ._.�H-837
9 Li
I�SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 04/11/14: $91.75 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 owner's 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 ff 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: LA==Prrnt Name: Date:
Form Revised Oct 2010
fins
Site Address: 5227 KEYSTONE CREEK CT
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 04/11/2014 $91.75
Receipt issued: 04/11/2014 Total Paid to Date: $91.75
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $57.75
County Sales/Use Tax 100.217030 $9.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1401715
Issued Full: 04/11/2014
Permit Type: Residential Mechanical
Comments
northern colo trust
Amount Paid Date Paid Amount Due
$57.75 04/11/2014 $0.00
$9.00 04/11/2014 $0.00
$25.00 04/11/2014 $0.00
$91.75 $91.76
$0.00
TOTAL BALANCE DUE AS OF 04111/2014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.