HomeMy WebLinkAbout4306 WIDGEON ST - PERMITS - 1/22/2019/0",Fo��r'fCollins
Site Address: 4306 WIDGEON ST
Job Valuation: $6,986.00 Category: Residential
Owner: HAVENS BRADLEY RICHARD/KEIRA LIN
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900437
Issued Full: 01/2212019
Permit Type: .Residential Mechanical
2460 PROFESSOR AVE
CLEVELAND, OH 44113-4641 Phone: 773-742-6335
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: ALLEN PLUMBING & HEATING License #: H-871 Supervisor cert#:
101 SLINK LANE
FORT COLLINS; CO 80521 Phone: 970-484-4841
Subcontractors)— —
Mechanical: ( ALLEN PLUMBING & HEATIN671
Phone �f
-�970=484-4841 I I
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Work Description: Remove existing furnace and replace with new like furnace -with new evaporator coil.
License Number
H-871
LJ L J
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 01/22/19: $187.42 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 of
F6rt
Collins
Site Address: 4306 WIDGEON ST
Job Valuation: $6,986.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970-224.6134 -fax
Building Permit #: B1900437
Issued Full: 01/22/2019
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 01/22/2019 $187.42
Receipt issued: 01/22/2019 Total Paid to Date: $187.42
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $134.48 $134.48 01/22/2019 $0.00
County Sales/Use Tax 100.217030 $27.94 $27.94 01/22/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/22/2019 $0.00
TOTAL FEES: $187.42 $187.42 $0.00
TOTAL BALANCE DUE AS OF 01122/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.