HomeMy WebLinkAbout6237 Southridge Greens Blvd - Permits/Furnace - 08/22/2019rfCollins
Site Address: 6237 SOUTHRIDGE GREENS BLVD
Job Valuation: $4,140.00 Category: Residential
Owner: KLINGSMITH LEVULIBBY
6237 SOUTHRIDGE GREENS BLVD
FORT COLLINS, CO 80525
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1908135
Issued Full: 08/22/2019
Permit Type: Residential Mechanical
Phone: 303-827-8132
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
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
Subcontractorlslr_-.._._
Mechanical: NORTHERN COL ORADOAIR INC
Work Description: Replace furnace. .
Filing #: Lot M Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License M H-837 Supervisor cert#:
Phone: 970-223-8873
- _ Phone { ��
970=223-8873 _ I !
License Number
_. H-837--
t'
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone:970-221-6769 I�
** Online Portal: fcnov.com/CitizenAccess ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobile
IlPossible Inspections Reouired: 204 302 300 301 IN
TOTAL FEES PAID AS OF 08/22/19: $121.26 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1908135
Issued Full: 08/22/2019
Permit Type: Residential Mechanical
Site Address: 6237 SOUTHRIDGE GREENS BLVD
Job Valuation: $4,140.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/22/2019 $121.26
Receipt issued: 08/22/2019 Total Paid to Date: $121.26
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $79.70 $79.70 08/22/2019 $0.00
County Sales/Use Tax 100.217030 $16.56 $16.56 08/22/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 08/22/2019 $0.00
TOTAL FEES: $121.26 $121.26 $0.00
'TOTAL BALANCE DUE AS OF 08/2212019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.