HomeMy WebLinkAbout620 Powderhorn Dr - Permits/Furnace - 12/08/2016City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607352
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
Site Address: 620 POWDERHORN DR
Job Valuation: $2,940.00 Category: Residential
Owner: STOLL DOUGLAS D/RACHEL I
620 POWDERHORN DR
FORT COLLINS, CO 80526-2607 Phone: 970-491-3708
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID: Filing #: Lot #: Block #:
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: NORTHERN COLORADO AIR INC —' License #: H-837 Supervisor cert#: 1699-H
812 STOCKTON AVE_-' I
FORT COLLINS, CO 805241 '��, I� �� ��l'� �Phone: 970-223-8873
Subcontractor(gl_ Phone License Number
Mechanical: NORTHERN COLORADO AIR INC 976 223-8873 H-837
00 S
Work Description: Replace furn ca e�95%._
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/08/16: $91.15 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
rfCollins
Site Address: 620 POWDERHORN DR
Job Valuation: $2,940.00 Category: Residential
Transactions
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607352
Issued Full: 12/08/2016
Permit Type: Residential Mechanical
Trust Account 12/08/2016
$91.15
Receipt issued: 12/08/2016 Total Paid to Date:
$91.15
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$56.59
$56.59
12/08/2016
$0.00
County Sales/Use Tax 100.217030
$9.56
$9.56
12/08/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
12/08/2016
$0.00
TOTAL FEES: $91.16 $91.15 $0.00
TOTAL BALANCE DUE AS OF 12108/2016: 0.00
0 O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010