HomeMy WebLinkAbout4238 GEMSTONE LN - PERMITS - 1/28/2019City of
F`rt Collins
Site Address: 4238 GEMSTONE LN
Job Valuation: $6,191.00 Category: Residential
Owner: EGGERT JO ANN
4238 GEMSTONE LN
FORT COLLINS, CO 80525
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900540
Issued Full: 01/28/2019
Permit Type: Residential Mechanical
Phone: 970-214-8354
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 #:
Corn sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: ALLEN PLUMBING &HEATING License #: H-871 Supervisor cent #:
101 SLINK LANE
FORT COLLINS, CO 80521 Phone: 970-484-4841
Subcontractoll(s) _ "_Phone (l I License Number
Mechanical: ; ALLEN PLUMBING &.HEAT.ING I-, 970-484-4841- 871
Work Description: Remove existing air conditioner and replace with new.air conditioner.
SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: hftp://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 01/28/19: $168.94 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that 1 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 ifthe 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
�.F,�ort Collins
Site Address: 4238 GEMSTONE LN
Job Valuation: $6,191.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 01/28/2019 $168.94
Receipt issued: 01/28/2019 Total Paid to Date: $168.94
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $119.18
County Sales/Use Tax 100.217030 $24.76
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900540
Issued Full: 01/28/2019
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$119.18 01/28/2019 $0.00
$24.76 01/28/2019 $0.00
$25.00 01/28/2019 $0.00
TOTAL FEES: $168.94 $168.94 $0.00
TOTAL BALANCE DUE AS OF 01/2812019: 0.00
�- -]
Fee Amounts are valid for date of this document only. Fees subject to change without notice.