HomeMy WebLinkAbout4256 GEMSTONE LN - PERMITS - 3/15/2016City of
F6rt Collins
iSite Address: 4256 GEMSTONE LN
Job Valuation: $4,750.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1601259
Issued Full: 03/15/2016
Permit Type: Residential Mechanical
Owner: BUNN LYNNE C
4256 GEMSTONE LN
I FORT COLLINS, CO 80525 Phone: 970-231-7021
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: 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
Subcontractor(s) . - . Phone License Number
Mechanical: SWAN HEATING & AIR COND., 970-215-5870. H-1920
Work Description: Furnace installation.
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 03/15/16: $131.88 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
i
City of
F6rt
Site Address: 4256 GEMSTONE LN
,Job Valuation: $4,750.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1601259
Issued Full: 03/15/2016
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 03/15/2016
$131.88
Receipt issued: 03/15/2016 Total Paid to Date:
$131.88
Fee Description Account Code
Fee Amount
Amount Paid
i
j City Sales/Use Tax 251.122030
$91.44
$91.44
j County Sales/Use Tax 100.217030
$15.44
$15.44
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
TOTAL FEES:
$131.88
$131.88
Date Paid
Amount Due
03/15/2016
$0.00
03/15/2016
$0.00
03/15/2016
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.