HomeMy WebLinkAbout4313 Kingsbury Dr - Permits/Air Conditioner - 06/13/2017�.,F`ort Collins
Site Address: 4313 WNGSBURY DR
Job Valuation: $3,444.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80$22
97o.22i.676o 970.224.6134 -.fax
Building Permit #: B1703141
Issued Full: 06113/2017
Permit Type: Residential Mechanical
Owner: GRAY RICHARD M/JENNIFER J
4313 KINGSBURY DR
FORT COLLINS, CO 80525-3327 Phone 397-8903
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
Code: Res sq ft Com sq ft
# of stones Occ Group
Fire Sprklr Stock plan #
Contractor: POUDRE VALLEY AIR.. .
2416 DONELLA CT #A
FORT COLLINS, CO 80524
SubcontractoHs� _
Mechanical POUDRE VALLEY AIR
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Work Description Replace air conditioner __ i
-
Filing # Lot # Block #
Ind sq ft Basement sq ft
License # H-835
i Phone 970-493-2050
Supervisor cert#
License Number
�/ H-835_--�
� 11 r
I SCHEDULE INSPECTIONS: •'• By Phone: 970-221.6769 ••• By Web: http:itwww.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/13117: $102.49 Payment method: Trust Account
Fee DeWl Dh played on Next Page
As a condition for the issuance of a pemhil. I hereby declare that I am the wrier or owner's agent au0wilzed to perlorm the proposed work on the property described herein
I agree to campy w th all tie requirements whitened herein. and Cdy ordinances, arid state laws assodated vM such work I understand that such permit may be
revoked in the event that issuance was based on noared trdonnahah This pemhil shag became null and void if Me wak sulhonzed by such MM is rot a mrnenoed,
suspended, abandoned or not ftpeded wfhn 180 days from the date of surdh pemdt
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
art
Collins
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 8o522
970.221.676o 970-224.6134 -fax
Building Permit#: B1703141
Issued Full: 06/1312017
Permit Type: Residential Mechanical
Site Address: 4313 VJNGSBURY DR
Job Valuation: $3,444.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 06/13/2017
Receipt Issued: 06/13/2017 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100217030
Permit Flat Fee w/o Subs $25 1000 422010
Amount Paid
$10249
$10249
Fee Amount
Amount Paid
$6630
$6630
$11 19
$11 19
$2500
$2500
TOTAL FEES: $102.49 $102.49
Date Paid
Amount Due
06/13/2017
$000
06/13/2017
$000
06/13/2017
$000
$0.00
,..TOTAL BALANCE DUE AS OF 06/1312017: 0A-0
O00, 1�; O
� I� � 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.