HomeMy WebLinkAbout4213 BEAVER CREEK DR - PERMITS - 6/28/2016 (2)F —1-1 —
6rt Collins
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Site Address: 4213 BEAVER CREEK DR
Job Valuation: $4,107.50 Category: Residential
Owner: WARREN BRYCE WHOLLY J
4213 BEAVER CREEK DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1603519
Issued Full: 06/28/2016
Permit Type: Residential Mechanical
Phone: 970-412-5834
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:
Code: Res sq ft: Corn sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #:
Contractor: AMERICAN AIR HTG & A/C
561 E. GARDEN' DR UNIT-F
WINDSOR, CO 80550
Subcontractors
Electrical: WIRED ELECTRIC CO
Mechanical: ? AMERICAN AIR HTG & A/C
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: H-1729 Supervisor cert#:
Phone: 970-686-6086
License Number
Work Description: Replace air conditioner.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Illnspections: GL FNM FNP FNE II
TOTAL FEES PAID AS OF 06/28/16: $117.42 Payment method: Credit Card 7749
** 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 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
Site Address: 4213 BEAVER CREEK DR
Job Valuation: $4,107.50 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK#7749 06/28/2016 $117.42
Receipt issued: 06/28/2016 Total Paid to Date: $117.42
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $79.07
County Sales/Use Tax 100.217030 $13.35
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1603519
Issued Full: 06/28/2016
Permit Type: Residential Mechanical
Amount Paid Date Paid Amount Due
$79.07 06/28/2016 $0.00
$13.35 06/28/2016 $0.00
$25.00 06/28/2016 $0.00
TOTAL FEES: $117.42 $117.42
$0.00
TOTAL BALANCE DUE AS OF 06/28/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form