HomeMy WebLinkAbout4807 CREST RD - PERMITS - 12/21/2015Community Development & Neighborhood Services
city Ot
Fo rt Collins 281 N. College Ave Fort Collins, CO a
970.221.676o 970.224.6134 -fax
Building Permit #: B1508486
Issued Full: 12/21/2015
j Permit Type: Residential Mechanical
Site Address: 4807 CREST RD
Job Valuation: $6,196.00 Category: Residential
Owner: NEIDHARDT PETER M
4807 CREST RD
FORT COLLINS, CO 80526 Phone: 970-556-5007
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 M Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FORT COLLINS HEATING & AIR License #: H-1309 Supervisor cert#:
208 COMMERCE DR#4
FORT COLLINS, CO 80524 Phone: 970-484-4552
Subcontractor(s) Phone License Number
Mechanical: FORT COLLINS HEATING & AIR 970484-4552 H-1309
Work Description: Install furnace replacement (1. of 2)
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 12/21115: $164.41 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 State laws assodaled 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
F6rt,Collins
ity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134-fax
Building Permit #: B1508486
Issued Full: 12/21/2015
Permit Type: Residential Mechanical
Site Address: 4807 CREST RD
Job Valuation: $6.196.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 12/21/2015
$164.41
Receipt issued: 12/21/2015 Total Paid to Date:
$164.41
i Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
1 City Sales/Use Tax 251.122030
$119.27
$119.27
12/21/2015
$0.00
County Sales/Use Tax 100.217030
$20.14
$20.14
12/21/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
12/21/2015
$0.00
i TOTAL FEES:
$164.41
$164.41
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.