HomeMy WebLinkAbout4107 MILL RUN CT - PERMITS - 11/16/2016i Community Development & Neighborhood Services
F6et2281 N. College Ave Fort Collins, CO 80522
Collins
970.
21.676o 970.224.61S4 -fax
` Building Permit #: B1606892
Issued Full: 11/16/2016
I Permit Type: Residential Mechanical
Site Address: 4107 MILL RUN CT
'i
Job Valuation: $3,700.00 Category: Residential
Owner: BACHAR SHMUEL
4107 MILL RUN CT
FORT COLLINS, CO 80525 Phone: 970-215-6746
i 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: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: FORT COLLINS HEATING & AIR
Work Description: Replace furnace:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type
Stock plan options:
License #: H-1309
Phone: 970-484-4552
Phone
970-484-4552
Basement sq ft:
Supervisor cert #:
License Number
H-1309
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11/16/16: $108.25 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
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Development & Neighborhood Services
`y 281 N. College Ave Fort Collins, CO 80522
r �F6rt970.221.6760 970.224.6ig4 -fax
i
f Building Permit #: B1606892
Issued Full: 11/16/2016
Permit Type: Residential Mechanical
Site Address: 4107 MILL RUN CT
i
Job Valuation: $3,700.00 Category: Residential
k
Transactions
Method Check Number Date Paid Amount Paid Comments
.' Trust Account 11/16/2016 $108.25
Receipt issued: 11/16/2016 Total Paid to Date: $108.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $71.23 $71.23 11/16/2016 $0.00
County Sales/Use Tax 100.217030 $12.02 $12.02 11/16/2016 $0.00
r ! Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 11/16/2016 $0.00
TOTAL FEES: $108.26 $108.25
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.