HomeMy WebLinkAbout1815 Rolling Gate Rd - Permits/Furnace - 05/13/2016,�of
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Site Address: 1815 ROLLING GATE RD
Job Valuation: $4,106.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1601991
Issued Full: 06/13/2016
Permit Type: Residential Mechanical
Owner: BENNETT DAVID T TRUST
1815 ROLLING GATE RD
FORT COLLINS, CO 80526-3393 Phone: 970-282-6944
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: 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: COOPER HEATING & COOLING License #: H-2040 Supervisor cert#:
11780 COLMANS WAY
BROOMFIELD, CO 80020 Phone: 303-466-4209
Subcontractors) Phone License Number
Mechanical: COOPER.HEATING & COOLING 303-4664209 H-2040
Work Description: Replace furnace 96% 90k btu...
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 05/13/16: $117.38 Payment method: Credit Card 6483
** 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
CI}" O� Community Deuelopment&Neighborhood Services
F ��r � 28i N. College Ave Fort Collins,CO So522 ��
ort Coll�ns 970.221.6�60 970.224.6i34 -.f�
Building Permit#: B1601991 '
' Issued Full: 05/13/2016
Permit Type: Residential Mechanical
Site Address: 1815 ROLLING GATE RD
Job Valuation: 4 106.00 Category: Residential �
Transactions
Method Check Idumber Date Paid Amount Paid Comments ',
Credit Card CK#5483 04/28/2016 $117.38
Receipt issued: 05/13/2016 Total Paid to Date: $117.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $79.04 $79.04 04/28/2016 $0.00
County Sales/Use Tax 100.217030 $13.34 $13.34 04/28/2016 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 04/28/2016 $0.00
TOTAL FEES: $117.38 $117.38 $0.00
� TOTAL BALANCE DUE AS OF 05/13/2016: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.