HomeMy WebLinkAbout3938 Century Dr - Permits/Furnace - 09/20/2019�of
t Collins
Site Address: 3938 CENTURY DR
Job Valuation: $7,046.72 Category: Residential
Owner: LAYBOURN PAUL XSUSAN C
3938 CENTURY DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1911502
Issued Full: 09/20/2019
Permit Type: Residential Mechanical
Phone: 970-222-8787
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 stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
S u bcontract6r(s) -- -j
Mechanical: FORTCOLLINS HEATING &'AIR
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1309
Phone: 970A84A552
Phone
r' 970:484A552- - a
Work Description: Replace furnace.
ab
Supervisor cert#:
License Number
• �:-a H-1309--
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Insoections Reouired: 204 302 300 301
TOTAL FEES PAID AS OF 09/20/19: $188.84 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
ty of
FSiort Collins
Site Address: 3938 CENTURY DR
Job Valuation: $7,046.72 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 09/20/2019
Receipt issued: 09/20/2019 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
$188.84
$188.84
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Comments
Building Permit#: B1911502
Issued Full: 09/20/2019
Permit Type: Residential Mechanical
Fee Amount
Amount Paid
$135.65
$135.65
$28.19
$28.19
$25.00
$25.00
$188.84 $188.84
Date Paid
Amount Due
09/20/2019
$0.00
09/20/2019
$0.00
09/20/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/20/2019: 0.00
L
_3
Fee Amounts are valid for date of this document only. Fees subject to change without notice.