HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 11/2/2015Fo��r'fCollins
Site Address: 4501 REGENCY DR, I
Job Valuation: $3,750.00 Category: Residential
Owner: ENGELL KIM W
4501 REGENCY DR UNIT 1
FORT COLLINS. CO 80526-3420
ty Development & Neighborhood Services
281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507795
Issued Full: 11/02/2016
Permit Type: Residential Mechanical
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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: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBING & HEATING
101 SLINK AVE
FORT COLLINS, CO 80521
Subcontractor(s) -
Mechanical: ALLEN PLUMBING & HEATING
Work Description: Replace furnace
Const Type:
Stock plan options:
License #: H-871 Supervisor cert#:
Phone: 970-494-7610
Phone
970-494-7610
License Number
H-871
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11102/15: $109.38 Payment method: Trust Account
" Fee Detail 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 proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and Stale 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:
Form Revised Oct 2010
rfCollins
ity Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507795
Issued Full: 11/02/2015
Permit Type: Residential Mechanical
Site Address: 4501 REGENCY DR,1
Job Valuation: $3,750.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 11/02/2015
$109.38
Receipt issued: 11/02/2015 Total Paid to Date:
$109.38
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$72.19
$72.19
11/02/2015
$0.00
County Sales/Use Tax 100.217030
$12.19
$12.19
11/02/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/02/2015
$0.00
TOTAL FEES:
$109.38 $109.38
TOTAL BALANCE DUE AS OF 11102/2015:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.