HomeMy WebLinkAbout4518 Goshawk Dr - Permits/Furnace - 01/25/2016_ - .
City of
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
{F6rt97o.22i.676o 970.22¢.61g¢ -fax
Building Permit #: B1508190
Issued Full: 01/26/2016
Permit Type: Residential Mechanical
Site Address: 4518 GOSHAWK DR
i' Job Valuation: $6,053.00 Category:
i'
Owner: JONES MARK A
4518 GOSHAWK DR
FORT COLLINS, CO 80526-3609
Residential
Phone: 970-581-2543
J Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
l Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD
ii
Code: Res sq ft: Com sq ft:
it
# of stories: Occ Group:
i Fire Sprklr: Stock plan #:
Contractor: ONE HOUR HTG & AIR
487 N DENVER AVE
l LOVELAND, CO 80537
I ! Subcontractor(s)
E Mechanical: ONE HOUR HTG & AIR
Work Description: Replace furnace
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-824 Supervisor cert#:
Phone: 970-663-4002
Phone
970-663-4002
License Number
.H-824
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 01/25116: $161.19 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 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
281 N. F r College Ave Fort Collins, CO 80522
6rt Collins97o.221.676o 970.224.6134 -fax
Building Permit #: B1508190
Issued Full: 01/25/2016
Permit Type: Residential Mechanical
Site Address: 4518 GOSHAWK DR
Job Valuation: $6,053.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 01/25/2016
$161.19
Receipt issued: 01/25/2016 Total Paid to Date:
$161.19
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$116.52
$116.52 01/25/2016
$0.00
County Sales/Use Tax 100.217030
$19.67
$19.67 01/25/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 01/25/2016
$0.00
TOTAL FEES:
$161.19
$161.19
$0.00
TOTAL BALANCE DUE AS OF 01/25/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.