HomeMy WebLinkAbout4332 GEMSTONE LN - PERMITS - 6/28/2016Site Address: 4332 GEMSTONE LN
Job Valuation: $2,746.74 Category: Residential
Owner: SAGE COUNTRY LLC
5586 OVERHILL DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1603603
Issued Full: 06/28/2016
Permit Type: Residential Mechanical
Phone: 970-219-5311
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: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524'
Subcontractor(i)
Mechanical: POUDRE VALLEY AIR
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-835 Supervisor cert #:
Phone: 970-493-2050
Work Description: Replacement of existing 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: $86.81 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
F6rt Collins
Site Address: 4332 GEMSTONE LN
Job Valuation: $2,746.74 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 06/28/2016
Receipt issued: 06/28/2016 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
Amount Paid
$86.81
$86.81
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
• -1171 a- 1
Building Permit #: B1603603
Issued Full: 06/28/2016
Permit Type: Residential Mechanical
Fee Amount
Amount Paid
$52.88
$52.88
$8.93
$8.93
$25.00
$25.00
Date Paid
Amount Due
06/28/2016
$0.00
06/28/2016
$0.00
06/28/2016
$0.00
TOTAL FEES: $86.81 $86.81 $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.