HomeMy WebLinkAbout4425 WATERLEAF CT - PERMITS - 11/28/2018//00Fo�rfCollins
Site Address: 4425 WATERLEAF CT
Job Valuation: $1,850.00 Category: Residential
Owner: SHULTZ CINDY S
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1810317
Issued Full: 11/28/2018
Permit Type: Residential Mechanical
4003 BRACADALE PL
FORT COLLINS, CO 80524-6425 Phone: 970-980-4787
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: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ENERGY RESOURCE CENTER License M H-3796(C) Supervisor cert#:
3543 South Lincoln Ave, Suite 2
Loveland, CO 80537 Phone: 970-617-2801
Subcontractorls)- Phone __; _ _ �i
_" License Number
Mechanical: i ( ENERGY RESOURCE CENTER[ 970417-2801-_'j —H-3796(C)__
_J L L�
W6rk Description: Replace existing furnace with new high efficiency 95%, 60K BTU.~
SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 11128/18: $25.00 Payment method: Credit Card 4075
*' 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.
l
Signature: J Print Name: Date: I - - 18
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 4425 WATERLEAF CT
Job Valuation: $1,850.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK#4075 11/28/2018 $25.00
Receipt issued: 11/28/2018 Total Paid to Date: $25.00
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Comments
Building Permit #: B1810317
Issued Full: 11/28/2018
Permit Type: Residential Mechanical
Fee Description Account Code Fee Amount Amount Paid. Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 11/28/2018 $0.00
TOTAL FEES:
$25.00 $26.00
TOTAL BALANCE DUE AS OF 11/28/2018:
I h
I _ _�Z_zz
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.