HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 11/2/2015 (2)Frt Collins
Site Address: 4501 REGENCY DR, I
Job Valuation: $4,318.00 Category: Residential
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1507798
Issued Full: 11/02/2016
Permit Type: Residential Mechanical
Owner: ENGELL KIM W
4501 REGENCY DR UNIT 1
FORT COLLINS, CO 80526-3420 Phone: 970-227-8602
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan M Stock plan options:
Contractor: ALLEN PLUMBING & HEATING License #: H-871 Supervisor cert#:
101 S LINKAVE
FORT COLLINS, CO 80521 Phone: 970-494-7610
Subcontractors) _ Phone License Number
Mechanical: ALLEN PLUMBING & HEATING 970=494-7610.. I _ .., _ H-871, _ _
Work Description: Replace air conditioner
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 11/02/15: $122.15 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 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 4501 REGENCY DR, I
Job Valuation: $4,318.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 11/02/2015 $122.15
Receipt issued: 11/02/2015 Total Paid to Date: $122.15
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $83.12
County Sales/Use Tax 100.217030 $14.03
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507798
Issued Full: 11/02/2015
Permit Type: Residential Mechanical
Comments
Amount Paid
Date Paid
Amount Due
$83.12
11/02/2015
$0.00
$14.03
11/02/2015
$0.00
$25.00
11/02/2015
$0.00
$122.15 $122.15
TOTAL BALANCE DUE AS OF 11/02/2015:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form