HomeMy WebLinkAbout4816 Regency Dr - Permits/Furnace - 10/18/2016.
.'i Community Development & Neighborhood Services
City ®V
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f.� Fort Collins
281 N. College Ave Fort Collins, CO 80522
o.221.6 60
97 7 970.224.6134 -fax
Building Permit#: B1606183
Issued Full: 10/18/2016
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Permit Type: Residential Mechanical
Site Address: 4816 REGENCY DR
,..,!Job Valuation: $7,500.00 Category: Residential
Owner: RAWLINSON JENNIFER E
i' 4816 REGENCY DR
FORT COLLINS, CO 80526
Phone: 607-227-8540
a Zoning: Front setback: Rear setback:
Right setback: Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
I, I Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
I j Code: Res sq ft: Com sq ft:
Ind sq ft: Basement sq ft:
I # of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: SWAN HEATING & AIR COND., INC.
License #: H-1920 Supervisor cert#: 2528-H
599 W.66TH ST.
LOVELAND, CO 80538
Phone: 970-215-5870
.; Subcontractor(s)
Phone License Number
Mechanical: SWAN HEATING & AIR COND.,
.
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970-215-5870 H-1920...
Work Description: Replace furnace 80,000 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 10/18/16: $193.74 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
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1606183
Issued Full: 10/18/2016
P T
F Site Address: 4816 REGENCY DR
Willi ype. Residential Mechanical
Job Valuation: $7,500.00 Category: Residential
I Transactions
F'
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/18/2016
$193.74
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Receipt issued: 10/18/2016 Total Paid to Date:
$193.74
r Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$144.37
$144.37 10/18/2016
$0.00
County Sales/Use Tax 100.217030
$24.37
$24.37 10/18/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
I'
$25.00
$25.00 10/18/2016
$0.00
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i TOTAL FEES:
$193.74
$193.74
$0.00
r
4i
TOTAL BALANCE DUE AS OF 10/18/2016:
0.00
I!
Ll
Fee Amounts are valid for date of this document only. Fees subject to change without notice.