HomeMy WebLinkAbout5825 Southridge Greens Blvd - Permits/Furnace - 09/18/2018City of
� �.�or# Collins
Site Address: ' 5825 SOUTHRIDGE GREENS BLVD
Job Valuation: 2 430.00 Category: Residential
Owner: DEINES LORENE M
5825 SOUTHRIDGE GREENS BLVD
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 97o.224.6134 -fax
Building Permit#: B1808069
Issued Full: 09/18/2018
Permit Type: Residential Mechanical
Phone: 970-223-6959
Zoning: Front setback: Rear setback: Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #:
Code: Res sq ft: Com sq ft: Ind sq ft: _
# of stories: Occ Group: Const Type: _
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: NORTHERN COLORADO AIR INC License #:
812 STOCKTON AVE - -
Left setback:
Block #:
Basement sq ft:
H-837 Supervisor cert#:
FORT COLLLNS,`CO 80524 ; Phone:,970-223-8873
r;..
Subcontractois-)-= ` f LiPhone
Mechanical: NOR THEER� N COLO . ADO AIR INC f ,/'970-223-8873_.
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Work Description: Replace furnace 95%_
License Number
�H-837
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II'
***Bv Mobile Device: httD://www.fcoov.com/CitizenAccess/mobile
IlPossible Inspections Required: 204 302 300 301 III
TOTAL FEES PAIDAS OF 09/18/18: $78.46 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 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
City of
Fort Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1808069
Issued Full: 09/18/2018
Permit Type: Residential Mechanical
Site Address: 5825 SOUTHRIDGE GREENS BLVD
Job Valuation: $2,430.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 09/18/2018
Receipt issued: 09/18/2018 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
TOTAL FEES:
Amount Paid
$78.46
$78.46
Fee Amount
Amount Paid
$46.78
$46.78
$6.68
$6.68
$25.00
$25.00
$78.46 $78.46
Date Paid
Amount Due
09/18/2018
$0.00
09/18/2018
$0.00
09/18/2018
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/18/2018: 0.00
I
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.