HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 6/19/2012�of
t Collins
Site Address: 4501 REGENCY DR. A
Job Valuation: $1,997.00 Category: Residential
Owner: BROEDNER WALTER/DENISE
5106 ABBEY RD
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1203690
Issued Full: 06/19/2012
Permit Type: Residential Mechanical
Phone:433-5144
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: i
Legal: Subdivision/PUD:, Filing #: Lot #: Block #:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ,Group:
Fire Sprklr:
Stock plan #:
Contractor: AIR CITY HEATING&,A/C
P.O. BOX 948
r
LOVELAND, CO `180539
Subcontractoftsl----- I
Ind sq ft: Basement sq ft:
ConstType:
Stock plan options:
(' ' License #: H-1672. Supervisor cert#:
Phone:970-613-1400
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Mechanical: AIR CITY HEATING & A/C
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,O 00
Work Description: ADD'2 TON -AIR CONDITIONER G
Phone
970=613-1400
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License Number
H-1672
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/19/12: S71.45 Payment method: Check 2284
Fee Dull 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 pmposed 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 inconect information. This permit shall became 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: -�j Print Name: Date: 2—
Form Revised Oct 2010
�of
t Collins
Site Address: 4501 REGENCY DR, A
Job Valuation: $1,997.00 Category: Residential
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit #: B1203690
Issued Full: 06/19/2012
Permit Type: Residential Mechanical
Transactions
)method Check Number Date Paid Amount Paid Comments
Check CK # 2284 06/19/2012 $71.45 AIR -CITY CK#2284
Receipt issued: 06/19/2012 Total Paid to Date: $71.45
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:
Fee Amount
Amount Paid
Date Paid
$38.46
$38.46
06/19/2012
$7.99
$7.99
06/19/2012
$25.00
$25.00
06/19/2012
$71 A5
$71.45
TOTAL BALANCE DUE AS OF 06/19/2012:
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Form Revised Oct 2010