HomeMy WebLinkAbout4014 Berwick Ln - Permits/Furnace - 04/03/2019Frt Collins
Site Address: 4014 BERWICK LN
Job Valuation: $6,100.00 Category: Residential
Owner: MOREIRA STEPHANIE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1902017
Issued Full: 04/03/2019
Permit Type: Residential Mechanical
4014 BERWICK LN
FORT COLLINS, CO 80524-6465 Phone: 334-201-8125
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBINGA HEATING_
101 SLINK LANE
FORT COLLINS,` CO 80521
Subcontractors) =
Mechanical: j ALLEN PLUMBING & HEATING ILl
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: H-871 Supervisor cert#:
j Phone: 970-484-4841
f' _'PFione License Number
.' 970-484:4841 F1
` t
Work Description: Replace furnace.
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/r
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 04103/19: $166.83 Payment method: Trust Account
" Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby dedare that I am the owneror 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:
Forth Revised Oct 2010
a.Yt Collins
Site Address: 4014 BERWICK LN
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: 81902017
Issued Full: 04/03/2019
Permit Type: Residential Mechanical
Job Valuation: $6,100.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 04/03/2019 $166.83
Receipt issued: 04/03/2019 Total Paid to Date: $166.83
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $117.43 $117.43
County Sales/Use Tax 100.217030 $24.40 $24.40
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES: $166.83 $166.83
Date Paid
Amount Due
04/03/2019
$0.00
04/03/2019
$0.00
04/03/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 04/03/2019: 0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.