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Home My WebLink About3744 Sandy Shore Ln - Permits/Furnace - 12/19/2017City. Collins Site Address: 3744 SANDY SHORE LN Job Valuation: $6,056 00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1708644 Issued Full: 12/19/2017 Permit Type: Residential Mechanical Owner: GUSTAFSON DAVID ROBERT REVOCABLE TRUST 3744 SANDY SHORE LN FORT COLLINS, CO 80528-7182 Phone 970-213-3287 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 it Corn sq it # of stories Occ Group Fire Sprklr Stock plan # Contractor: SWAN HEATING 8 IR COND , INC 599 W 66TH ST LOVELAND, COL8O'53,8 --� w Subcontractor(s� �� j Mechanical SWA]:�N HEATING &AIR COND , Q Work Description Furnace replacement 96% 80,000 BTU's Filing # Lot # 96 Block # Ind sq it Basement sq it Const Type Stock plan options License # H-1920 Phone 970-215-5870 Supervisor cert# License Number ❑ H-1920 SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II ***BY Mobile Device: http://www.fcgov.com/CitizenAccess/mobile I1Posslble Inspections Rea uired 204 302 300 301 II TOTAL FEES PAID AS OF 12/19/17: $161.26 Payment method: Trust Account ** Fee Detail Displayed on Next Page As a oondihon 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 itthe 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: J Print Name: Date: Form Revised Oct 2010 City. of Fort Collins Site Address: 3744 SANDY SHORE LN Job Valuation: $6,056 00 Category: Residential Transactions Method She Trust Account Receipt issued: 12/1! Fee Description City Sales/Use Tax County Sales/Use Tax Permit Flat Fee w/o Subs lumber Date Paid 12/19/2017 Amount Paid $16126 17 Total Paid to Date: $161 26 Account Code Fee Amount 251 122030 $116 58 100 217030 $19 68 1000 422010 $25 00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1708644 Issued Full: 12/19/2017 Permit Type: Residential Mechanical I Amount Paid Date Paid Amount Due $116 58 12/19/2017 $0 00 $19 68 12/19/2017 $0 00 $25 00 12/19/2017 $0 00 TOTAL FEES: $161.26 $161.26 $0.00 CTOi AL BALANCE DUE AS OF 12119/2017: 0.00 7 \ OC(o '___J n Fee Amounts are valid for date of this document only. Fees subject to change without notice.