HomeMy WebLinkAbout4913 NINEBARK CT - PERMITS - 8/9/2019City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1906921
Issued Full: 08/09/2019
Permit Type: Residential Mechanical
Site Address: 4913 NINEBARK CT
Job Valuation: $2,826.00 Category: Residential
Owner: MILLER JOHN R/CHARLOTTE
4913 NINEBARK CT
FORT COLLINS, CO 80528 Phone: 970-206-1886
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: SWAN HEATING & AIR COND., INC.
License #: H-1920
Supervisor cert#:
599 W.66TH ST,
LOVELAND, CO 80538 ,
Phone: 970-215-5870
SubcontractoHs)__��i
`Phone F1
License Number
Mechanical: SWAN HEATING &,AIR_COND�.,
/ %' 970=215-5870�
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Work Description: Replace air conditioner y
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 I�
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Reauired: 204 302 300 301
TOTAL FEES PAID AS OF 08/09/19: $90.70 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 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 Nthe 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
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Site Address: 4913 NINEBARK CT
Job Valuation: $2,826.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970-224.6134 -fax
Building Permit #: B1906921
Issued Full: 08/09/2019
Permit Type: Residential Mechanical
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/09/2019 $90.70
Receipt issued: 08/09/2019 Total Paid to Date: $90.70
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $54.40 $54.40 08/09/2019 $0.00
County Sales/Use Tax 100.217030 $11.30 $11.30 08/09/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 08/09/2019 $0.00
TOTAL FEES: $90.70 $90.70 $0.00
TOTAL BALANCE DUE AS OF 08/09/2019: 0.00
LJ s _
Fee Amounts are valid for date of this document only. Fees subject to change without notice.