HomeMy WebLinkAbout627 SEDGWICK DR - PERMITS - 10/21/2014Fort Collins
Site Address: 627 SEDGWICK DR
Job Valuation: $2,049.20 Category: Residential
Owner: GREEN MICHAEL L/KELLY L
627 SEDGWICK DR
FORT COLLINS, CO 80525
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1410385
Issued Full: 10/21/2014
Permit Type: Residential Mechanical
Phone: 970-377-4215
Zoning: Frontsetback: 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: Coro sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POUDRE VALLEY AIR
2416 DONELLACT#A
FORT COLLINS, CO 80524
Subcontractors) _
Mechanical: POUDRE VALLEY AIR
Work Description: Replace furnace
Const Type:
Stock plan c
License #: H-835 Supervisor cert#:
Phone:970-493-2050
Phone License Number
970-493-2050 H-835
SCHEDULE INSPECTIONS: •** By Phone: 970-221-6769 •** By Web: hftp://amos.fcgov.com/CitizenAccess
Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 10/21114: $70.60 Payment method: Trust Account
" Fee Detail Displayed on Next Page
As a condition for the issuanceof a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed workon the property described herein.
I agree to comply all the requirements contained herein, and City ordinances, and Slate 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 vAthh 180 days from the date of such pemmt.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
of
City
Collins
Site Address: 627 SEDGWICK DR
Job Valuation: $2,049.20 Category: Residential
Transactions
Community Development &Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Comments
Building Permit#: B1410385
Issued Full: 10/21/2014
Permit Type: Residential Mechanical
Trust Account 10/21/2014
$70.60
Receipt issued: 10/2112014 Total Paid to Date:
$70.60
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$39.45
$39.45
10/21/2014
$0.00
County Sales/Use Tax 100.217030
$6.15
$6.15
10/21/2014
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
10/21/2014
$0.00
TOTAL FEES:
$70.60
$70.60
$0.00
TOTAL BALANCE DUE AS OF 10/2112014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.