HomeMy WebLinkAbout4632 Brenton Dr - Permits/Air Conditioner - 12/20/2017of
F6rt`Collins
Site Address: 4632 BRENTON DR
Job Valuation: $5,741 00 Category: Residential
Owner: LANE MAURINE K
4632 BRENTON DR
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708681
Issued Full: 12/20/2017
Permit Type: Residential Mechanical
Phone 970-484-3028
Zoning: Frontsetback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft Com sq ft _
# of stories Occ Group _
Fire Sprklr Stock plan # _
Contractor: ALLEN PLUMBING'& HEATING
Ej
101 SLINK AVE(,( p
FORT COLLINS, CO 80521
Subcontractor( �J [) frr
Mechanical ALLEON PLUMBING &.HEATING
Work Description Remove exlsting•air_conditioner and
Filing # Lot # 2D Block #
Ind sq ft
Const Type
Stock plan options
License #
Basement sq ft
H-871 Supervisor cart#
(( a Phone 970-484-4841
Or
air
License Number ,>
❑ H-871
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
'**By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required 204 302 300 301
TOTAL FEES PAID AS OF 12/20/17: $154.17 Payment method: Trust Account
'* Fee Detail Displayed on Next Page
As a condrbon 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 infornabon This permit shall become null and void I 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. Collins
Site Address: 4632 BRENTON DR
Job Valuation: $5,741.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 12/20/2017 $154 17
Receipt issued: 12/20/2017 Total Paid to Date: $15417
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708681
Issued Full: 12/20/2017
Permit Type: Residential Mechanical
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251 122030 $110 51 $110 51
County Sales/Use Tax 100 217030 $18 66 $18 66
Permit Flat Fee w/o Subs $25 1000 422010 $25 00 $25 00
TOTAL FEES: $154.17 $164.17
Date Paid
Amount Due
12/20/2017
$0 00
12/20/2017
$0 00
12/20/2017
$0 00
$0.00
t ��❑ r
l0 l� TOTAL BALANCE DUE AS OF 12/20/2017: 0.00
i
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.