HomeMy WebLinkAbout627 SEDGWICK DR - PERMITS - 10/31/2014City of Community Development & Neighborhood Services
Fort Collins 28iN.College Ave Fort Collins, COx
970.221.676o 970.224.6134 -fax
Building Permit#: B1411066
Issued Full: 10/3112014
Permit Type: Residential Mechanical
Site Address: 627 SEDGWICK DR
Job Valuation: $3,205.43 Category: Residential
Owner: GREEN MICHAEL L/KELLY L
627 SEDGWICK DR
FORT COLLINS, CO 80525 Phone: 970-377-4215
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
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 stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY AIR License #: H-835 Supervisor cert#:
2416 DONELLA CT #A
FORT COLLINS, CO 80524 Phone: 970-493-2050
Subcontractors) Phone License Number
Mechanical: POUDRE VALLEY AIR 970-493-2050 _ _ - H-835
Work Description: Replace air conditioner
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 10/31/14: $96.32 Payment method: Trust Account
" Fee Detail Displayed on Next Page
Asa condition for the issuance of a perm@, 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 pernit shall become null and void if the work authorized by such pernt 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
City of
F6rt Collins
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1411066
Issued Full: 10/31/2014
Permit Type: Residential Mechanical
Site Address: 627 SEDGWICK DR
Job Valuation: $3,205.43 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Trust Account 10/31/2014
$96.32
Receipt issued: 10/31/2014 Total Paid to Date:
$96.32
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$61.70
$61.70
10/31/2014
$0.00
County Sales/Use Tax 100.217030
$9.62
$9.62
10/31/2014
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
10/31/2014
$0.00
TOTAL FEES:
$96.32
$96.32
$0.00
TOTAL BALANCE DUE AS OF 10/31/2014:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.