HomeMy WebLinkAbout1004 Meadowbrook Dr - Permits/Air Conditioner - 06/26/2018,,F�fof
t_ Collins
Site Address 1004 MEADOWBROOK DR
Job Valuation $8,668 00 Category Residential
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
Building Permit # B1804935
Issued Full 06/26/2018
Permit Type Residential Mechanical
Owner HUSBY BENJAMIN HOWARD/LISAANNE
1004 MEADOWBROOK DR
FORT COLLINS CO 80521 Phone 970 682 0661
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 Ind sq ft Basement sq ft
# of stones Occ Group Const Type
Fire Sprklr Stock plan # Stock plan options
Contractor ALLEN PLUMBING & HEATING D License # H 871 Supervisor cert #
101 SLINKAVE 1-1—�
FORT COLLINS CO 80521' `� �� T + (� t ; Phone 970-484-4841
Subcontractor(s)-� ~ , Phone License Number
Mechanical ALLEN PLUMBING & HEATING 970-484-4841 ❑ H 871
0 0
Work Description Replace air conditioner and install new air conditioner
I SCHEDULE INSPECTIONS *** By Phone 970 221 6769 *** By Web http //www fcgov com/CitizenAccess I
***By Mobile Device http //www fcgov com/CitizenAccess/mobile
Possible Inspections Required 204 302 300 301
TOTAL FEES PAID AS OF 06/26/18 $215,70 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
F6rfColl
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
Budding Permit # B1804935
Issued Full 06/26/2018
Permit Type Residential Mechanical
Site Address 1004 MEADOWBROOK DR
Job Valuation 8 668 00 Category Residential
Transactions
Method Check Number Date Paid
Trust Account 06/26/2018
Receipt issued 06/26/2018 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
$215 70
$215 70
Fee Amount
Amount Paid
$166 86
$166 86
$23 84
$23 84
$25 00
$25 00
$216 70 $216 70
Date Paid
Amount Due
06/26/2018
$0 00
06/26/2018
$0 00
06/26/2018
$0 00
$0 00
rl LJ 1 W
TOTAL BALANCE DUE AS OF 06/26/2018 0 00
11
CLO)
l
Fee Amounts are valid for date of this document only Fees subject to change without notice