HomeMy WebLinkAbout4919 Bluestem Ct - Permits/Air Conditioner - 05/22/2018�of
t Collins
Site Address: 4919 BLUESTEM CT
Job Valuation: $4,067.00 Category: Residential
Owner: MCCURDY MICHAEL A/KELLIE E
4919 BLUESTEM CT
FORT COLLINS. CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1803758
Issued Full: 05/22/2018
Permit Type: Residential Mechanical
Phone: 970-232-5651
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: Filing#: Lot#: Block#:
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
Subcontractor(s)
Mechanical: FORT COLLINS HEATING -& AIR
Work Description: Replace airconditioner
Ind sq ft: _
Const Type: _
Stock plan options:
License* H-1309
Phone: 970-484-4552
Phone
970-4844552
Basement sq ft
Supervisor cert#:
License Number
H-1309
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 05/22/18: $114.47 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 owner's 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
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t Collins
Site Address: 4919 BLUESTEM CT
Job Valuation: $4,067.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1803758
Issued Full: 05/22/2018
Permit Type: Residential Mechanical
Method Check Number Date Paid Amount Paid Comments
Trust Account 05/22/2018 $114.47
Receipt issued: 05/22/2018 Total Paid to Date: $114.47
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $78.29 $78.29
County Sales/Use Tax 100.217030 $11.18 $11.18
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$114.47 $114.47
Date Paid
Amount Due
05/22/2018
$0.00
05/22/2018
$0.00
05/22/2018
$0.00
$0.00
TOTAL BALANCE DUE AS OF 05/22/2018: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.