HomeMy WebLinkAbout4240 BREAKWATER CT - PERMITS - 11/22/20166-1
Collins
Site Address: 4240 BREAKWATER CT
Job Valuation: 1 884.21 Category: Residential
Owner: CHRISTMAN CHRISTINE A
4240 BREAKWATER CT
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607045
Issued Full: 11/22/2016
Permit Type: Residential Mechanical
Phone: 970-744-1623
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: POUDRE VALLEY AIR License #: H-835 Supervisor cart#:
2416 DONELLA CT #A'
FORT COLLINS, CO 80524. Phone: 970-493-2050
Subcontractor(s), ___._,; Phone ! License Number
Mechanical: POUDRE VALLEY AIR 970-493-2050 H-835.. ....
Work Description: Replace furnace.
I 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 11/22/16: $67.39 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 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
City ot
F6rt Collins
Site Address: 4240 BREAKWATER CT
Job Valuation: $1,884.21 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 11/22/2016 $67.39
Receipt issued: 11/22/2016 Total Paid to Date: $67.39
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $36.27
County Sales/Use Tax 100.217030 $6.12
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
$67.39
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fax
Building Permit #: B1607045
Issued Full: 11/22/2016
Permit Type: Residential Mechanical
Comments
Amount Paid
$36.27
$6.12
$25.00
$67.39
Date Paid
11/22/2016
11/22/2016
11/22/2016
TOTAL BALANCE DUE AS OF 11/22/2016:
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.