HomeMy WebLinkAbout4203 Trail View Ln - Permits/Air Conditioner - 11/04/2016F6rt Collins
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Site Address: 4203 TRAIL VIEW LN
Job Valuation: $6,311.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fax
Building Permit #: B1606648
Issued Full: 11/04/2016
Permit Type: Residential Mechanical
Owner: OLSEN MICHAEL D/RENEE A
4203 TRAIL VIEW LN
FORT COLLINS, CO 80526 Phone: 970-217-3373
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:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
Subcontractolr(s)
Mechanical: FORT COLLINS HEATING & AIR
Work Description: Replace Air Conditioner.
Const Type:
Stock plan options:
License #: H-1309
Phone: 970-484-4552
Supervisor cert #:
I 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
TOTAL FEES PAID AS OF 11/04/16: $167.00 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
Cityof Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1606648
Issued Full: 11/04/2016
Permit Type: Residential Mechanical
Site Address: 4203 TRAIL VIEW LN
j Job Valuation: $6,311.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 11/04/2016 $167.00-
Receipt issued: 11/04/2016 Total Paid to Date: $167.00
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $121.49 $121.49
1 County Sales/Use Tax 100.217030 $20.51 $20.51
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES
$167.00 $167.00
Date Paid
11/04/2016
11/04/2016
11/04/2016
TOTAL BALANCE DUE AS OF 11/04/2016:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00