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Home My WebLink About2019 Connecticut Ct - Permits/Furnace - 12/15/2017rfCollins Site Address: 2019 CONNECTICUT CT Job Valuation: 820 31 Category: Residential Owner: BELISLE RYAN T/JOHN T 2019 CONNECTICUT CT FORT COLLINS, CO 80525-5710 Zoning: Front setback Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1708540 Issued Full: 12/16/2017 Permit Type: Residential Mechanical Phone 970-481-9160 Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district, , RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD Code: Res sq ft # of stories Fire Sprklr Rear setback Com sq ft Occ Group Stock plan # Contractor: POUDRE VALLEY AIR, 2416 DONELLA CT #A n O FORT-COLLINS( Ci O 80u 4 SubcontractortS) = Mechanical - POUDRE VALLEY AIR O Work Description Replace furnace Filing # Lot # Block # Ind sq ft Const Type _ Stock plan options Basement sq ft License # H-835 Supervisor cert# Phone 970-493-2050 License Number 150 ❑ Db N8352 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 12/15/17: $43.46 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 pemut 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 F6rt Collins Community 'Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1708540 Issued Full: 12/16/2017 Permit Type: Residential Mechanical Site Address: 2019 CONNECTICUT CT Job Valuation: 820 31 Category: Residential Transactions Method Check Number Date Paid Trust Account 12/15/2017 Receipt issued: 12/15/2017 Total Paid to Date: Fee Description Account Code City Sales/Use Tax 251 122030 County Sales/Use Tax 100 217030 Permit Flat Fee w/o Subs $25 1000 422010 Amount Paid $43 46 $43 46 Fee Amount Amount Paid $1579 $1579 $2 67 $2 67 $25 00 $25 00 Date Paid Amount Due 12/15/2017 $0 00 12/15/2017 $0 00 12/15/2017 $0 00 TOTAL FEES: $43.46 $43.46 $0.00 O C(TCO SAL BALANCE DUE AS OF 12/15/2017: 0.00 O O Fee Amounts are valid for date of this document only. Fees subject to change without notice.