HomeMy WebLinkAbout913 Deerhurst Cir - Permits/Air Conditioner - 07/22/2016,.,,F6rt Collins
Site Address: 913 DEERHURST CIR
Job Valuation: $4,066.58 Category: Residential
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1604027
Issued Full: 07/22/2016
Permit Type: Residential Mechanical
Owner: LEIDNER RALF/INGRID M
913 DEERHURST CIR
:l FORT COLLINS, CO 80525 Phone: 970-231-6392
Zoning: Front setback: Rear setback: Right setback: Left setback:
I Minor Amend #: Plat File #: ZBA Case #:
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Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
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Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
l.: # of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY AIR License #: H-835 Supervisor cert#:
2416 DONELLA CT #A
j. FORT COLLINS, CO 80524 Phone: 970-493-2050
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III l Subcontractor(s) Phone License Number
. Mechanical: POUDRE VALLEY AIR 970-493-2050 H-835
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Work Description: Replace a/c
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 07/22/16: $116.50 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 l l I n 281 N. College Ave Fort Collins, CO 80522
Co s 970.221.676o 970.224.6134 -fax
Building Permit #: B1604027
Issued Full: 07/22/2016
Permit Type: Residential Mechanical
Site Address: 913 DEERHURST CIR
Job Valuation: $4,066.58 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 07/22/2016
$116.50
Receipt issued: 07/22/2016 Total Paid to Date:
$116.50
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$78.28
$78.28
07/22/2016
$0.00
County Sales/Use Tax 100.217030
$13.22
$13.22
07/22/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
07/22/2016
$0.00
TOTAL FEES:
$116.60
$116.60
$0.00
TOTAL BALANCE DUE AS OF 07/22/2016:
0.00
:
•
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010