HomeMy WebLinkAbout4925 Chippendale Dr - Permits/Furnace - 01/26/2017Fo��r'fCollins
Site Address: 4925 CHIPPENDALE DR
Job Valuation: $2,790.00 Category: Residential
Owner: MUSA JOHN A
4925 CHIPPENDALE DR
FORT COLLINS, CO 80526-3813
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700381
Issued Full: 01/26/2017
Permit Type: Residential Mechanical
Phone: 970-204-1294
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: LIE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD.
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s)____:�]
Electrical: WIRED ELECTRIC CO
Mechanical: NORTHERN-COLORADO,AIR,
Work Description: Replace furnace 95%
Filing #: Lot M Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837 Supervisor cert#: 1699-H
Phone: 970-223-8873
�I License Number
rL ��ME-799--\
f�� HI 837 !\✓
J' 1
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 01/26/17: $87.78 Payment method: Trust Account
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that 1 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:
Farts Revised Oct 2010
F`o�r.'fCollins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1700381
Issued Full: 01/26/2017
Permit Type: Residential Mechanical
Site Address: 4925 CHIPPENDALE DR
Job Valuation: $2,790.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 01/26/2017
Receipt issued: 01/26/2017 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
Amount Paid
$87.78
$87.78
Fee Amount
Amount Paid
$53.71
$53.71
$9.07
$9.07
$25.00
$25.00
Date Paid
Amount Due
01/26/2017
$0.00
01/26/2017
$0.00
01/26/2017
$0.00
TOTAL FEES: $87.78 $87.78 $0.00
TOTAL BALANCE DUE AS OF 01/26/2017: 0.00
Cc
Fee Amounts are valid for date of this document only. Fees subject to change without notice.