HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 11/22/2011o-r.'t Collins
Site Address: 4501 REGENCY DR, G
Job Valuation: $2,281.84 Category: Residential
Owner: ELIAS CHARLES
1552 WILD ROSE CT
GOLDEN, CO 80403
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1110635
Issued Full: 11/22/2011
Permit Type: Residential Mechanical
Phone: 970-923-2323
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractoriis) - _
Mechanical: POUDRE VALLEY AIR
Work Description: REPLACE FURNACE
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: H-835 Supervisor cert#:
Phone:970-493-2050
Phone License Number
970-493-2050 --- H-835 -
A
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11122/11: $0.00 Payment method:
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.
SWD NOV 2 2 2011
Signature: Print Name: l l v 1 Date:
Form Revised Oct 2010
City of
FFl6,w&rt Collins
Site Address: 4501 REGENCY DR, G
Job Valuation: $2,281.84 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110635
Issued Full: 11/22/2011
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Receipt issued: Total Paid to Date:
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $15 1000.422010 $15.00 $15.00
TOTAL FEES: $15.00 $0.00 $15.00
TOTAL BALANCE DUE AS OF 11/22/2011: 115.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.