HomeMy WebLinkAbout6309 Golden Willow Dr - Permits/Furnace - 02/12/2016City of
F6rt Collins
Site Address: 6309 GOLDEN WILLOW DR
Job Valuation: $3,069.00 Category: Residential
Owner: PRESTER JUDITH A
6309 GOLDEN WILLOW DR
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600709
Issued Full: 02/12/2016
Permit Type: Residential Mechanical
Phone: 303-908-2256
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 178 Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:,..
Contractor: ROBERTS HEATING & AIR DBA JMP HEAT, INC. License #: H-1602 Supervisor cert#:
483 DENVER AVE
Loveland,CO 80537 Phone: 970-897-2337
Subcontractor(s) Phone License Number
Mechanical: ROBERTS HEATING & AIR DBA 970-897-2337 H-1602
Work Description: Install furnace
I 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 02/12/16: $94.06 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
Site Address: 6309 GOLDEN WILLOW DR
Job Valuation: $3,069.00 Category: Residential
Transactions
Method
Trust Account
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600709
Issued Full: 02/12/2016
Permit Type: Residential Mechanical
Check Number Date Paid Amount Paid Comments
02/12/2016
Receipt issued: 02/12/2016 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
$94.05
$94.05
Fee Amount Amount Paid
$59.08 $59.08
$9.97 $9.97
$25.00 $25.00
Date Paid
Amount Due
02/12/2016
$0.00
02/12/2016
$0.00
02/12/2016
$0.00
TOTAL FEES: $94.06 $94.05 $0.00
TOTAL BALANCE DUE AS OF 02/12/2016: 0.00