HomeMy WebLinkAbout4913 CLARENDON HILLS DR - PERMITS - 9/18/2018arof
t Collins
Site Address: 4913 CLARENDON HILLS DR
Job Valuation: $1,636.49 Category: Residential
Owner: HOREJS TAMARA M
4913 CLARENDON HILLS DR
FORT COLLINS, CO 80526
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1808053
Issued Full: 09/18/2018
Permit Type: Residential Mechanical
Phone: 970-226-5553
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:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: _
Occ Group: Const Type: _
Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY-AIR,-
2416 DONELLACT#A
FORT COLLINS,%CO 80524!
Subcontract or(sr- ) ----.= f
Mechanical: � POUDRE-VALLEY,AI,
y: Work �--
Description: Replace aircoriditioner
Basement sq ft:
License #: H-835 Supervisor cert#:
Phone: 970-493-2050
)050
License Number
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess le
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 204 302 300 301 Ipl
TOTAL FEES PAID AS OF 09/18/18: $61.00 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 assodated 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
�of
t Collins
Site Address: 4913 CLARENDON HILLS DR
Job Valuation: $1,636.49 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1808053
Issued Full: 09/18/2018
Permit Type: Residential Mechanical
Method Check Number Date Paid Amount Paid Comments
Trust Account 09/18/2018 $61.00
Receipt issued: 09/18/2018 Total Paid to Date: $61.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $31.50 $31.50 09/18/2018 $0.00
County Sales/Use Tax 100.217030 $4.50 $4.50 09/18/2018 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 09/18/2018 $0.00
TOTAL FEES: $61.00 $61.00 $0.00
TOTAL BALANCE DUE AS OF 09M 812018: 0.00
f _
Fee Amounts are valid for date of this document only. Fees subject to change without notice.