HomeMy WebLinkAbout2821 Brush Creek Dr - Permits/Furnace - 03/24/2016City of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F
Fort Collins 970.221.676o 970.224.6134 -fax
Building Permit #: B1601121
E I Issued Full: 03/24/2016
Permit Type: Residential Mechanical
i
Site Address: 2821 BRUSH CREEK DR
r Job Valuation: $4,850.00 Category: Residential
Owner: KIRBY LYNDA M/CHRISTOPHER J
2821 BRUSH CREEK DR
FORT COLLINS, CO 80528 Phone: 970-215-7750
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 #: 7 Block #: 6
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: FORT COLLINS HEATING & AIR License #: H-1309 Supervisor cert#:
208 COMMERCE DR#4
FORT COLLINS, CO 80524 Phone: 970-484-4552
Subcontractor(s)- Phone License Number
Mechanical: FORT COLLINS HEATING&AIR 970-484-4552 .H-1309
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE 11
TOTAL FEES PAID AS OF 03124/16: $134.12 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 1
.� City O� Community Development &Neighborhood Services
`r 281 N. College Ave Fort Collins, CO 80522
I 6rt Co l l I n 970.221.676 0 970.224.6134 -fax
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41
Building Permit #: B1601121
j Issued Full: 03/24/2016
t j Permit Type: Residential Mechanical
Site Address: 2821 BRUSH CREEK DR
Job Valuation: $4,850.00 Category: Residential
I�
Transactions
`. Method Check Number Date Paid
Amount Paid
Comments
Trust Account 03/24/2016
$134.12
Receipt issued: 03/24/2016 Total Paid to Date:
$134.12
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$93.36
$93.36 03/24/2016
$0.00
County Sales/Use Tax 100.217030
$15.76
$15.76 03/24/2016
$0.00
j Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 03/24/2016
$0.00
jTOTAL FEES:
$134.12
$134.12
$0.00
TOTAL BALANCE DUE AS OF 03/24/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.