HomeMy WebLinkAbout4242 Table Mountain Pl - Permits/Furnace - 11/25/2014of
,,Fort` Collins
Site Address: 4242 TABLE MOUNTAIN PL
Job Valuation: $2,050.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
92o.22i.676o 970-224.6134 -fax
Building Permit #: B1412122
Issued Full: 11/26/2014
Permit Type: Residential Mechanical
Owner: ANDERSON JAMIE LYNN
4242 TABLE MOUNTAIN PL
FORT COLLINS, CO 80526 Phone: 605-999-8774
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: REDSTONE HEATING CONT License M H-2033(R) Supervisor cert#:
4508 Lawrence Ln
LAPORTE, CO 80535 Phone: 970-217-5658
Subcontractorfs) - - _ Phone License Number
Mechanical: REDSTONE HEATINGICONTi _) 970-217-5658 - - H-2033(R)-
Work Description: Furnace replacement
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11/25/14: $70.61 Payment method: Check 2398
Fee Detail Displayed on Next Page
As a condition for the issuanceof a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed workon 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 pemtit 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: .J, k,_ Vn_ �,rtc�f.k Date: t I -
�/� Form Revised Oct 2010
Forof
t` Collins
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO80S22
970.221.676o 970.224.6134 -fax
Building Permit #: B1412122
Issued Full: 11/25/2014
Permit Type: Residential Mechanical
Site Address: 4242 TABLE MOUNTAIN PL
Job Valuation: $2,050.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Check CK#2398 11/25/2014
$70.61
Receipt issued: 11/25/2014 Total Paid to Date:
$70.61
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$39.46
$39.46
11/25/2014
$0.00
County Sales/Use Tax 100.217030
$6.15
$6.15
11/25/2014
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/25/2014
$0.00
TOTAL FEES:
$70.61
$70.61
$0.00
TOTAL BALANCE DUE AS OF 11/2512014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.