HomeMy WebLinkAbout5621 Falling Water Dr - Permits/Furnace - 12/20/2019City of
Fort Collins,
Site Address: "5621 FALLING WATER DR
Job Valuation,, ` 6 771.00 Category: Residential
Owner: COURTER KEVIN CMANNA L
5621 FALLING WATER DR
FORT COLLINS, CO 80528
Zoning: Front setback: Rear setback:
n81 N. College Ave Fort Collins, CO 80522
970;221.6760 970.224.6134-fax
Building -Permit #: B1916991
"Issued Full: 12/20/2019
Permit Type: Residential Mechanical
Phone: 970-290-1006
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: 3 Block #: 2
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: CUSTOM HEATING & AIR, INC DBA AIRE SERV
395 DELOZIER DR #120
FORT COLLINS,-CO. 80524. _
License #: H-1004 Supervisor cert#:
Phone: 970-282-7220
Subcontracfor(s)_ _.LL, _I 'Phone
Mechanical:. - E CUSTOM. HEATING & AIRINC: 970=282-7220 _
_ �, ,,� - � / -•.a • , . i ., � I I i , 1. ., '•,
I � I
Work Description: Replace furnace.
License Number
L H-1004: ,
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 Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 12/20/19: $182.42 Payment method: Check 47331
".Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property descdbed herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: l �� 2/P C / �Yi G Date: a
rorim Revised Oct 2010
City of
F6rtCollins
Site Address: 5621 FALLING WATER DR
Job Valuation: 6$ ,771.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK#47331 12/20/2019 $182.42
Receipt issued: 12/20/2019 Total Paid to Date: $182.42
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $130.34
County Sales/Use Tax 100.217030 $27.08
Permit Flat Fee w/o Subs $25 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 #: - B1916991
Issued Full: 1212012019
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$130.34 12/20/2019 $0.00
$27.08 12/20/2019 $0.00
$25.00 12/20/2019 $0.00
TOTAL FEES: $182.42 $182.42
$0.00
TOTAL BALANCE DUE AS OF 12/20/2019:
0.00
_A
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010