HomeMy WebLinkAbout4318 MILL CREEK CT - PERMITS - 10/7/2019/10.,F�ort Collins
Site Address: 4318 MILL CREEK CT
Job Valuation: $2,187.67 Category: Residential
Owner: GUDMESTAD ROBERT H/BETH A
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1913203
Issued Full: 10/07/2019
Permit Type: Residential Mechanical
4318 MILL CREEK CT
FORT COLLINS, CO 80526 Phone: 970-443-7973
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID: Filing #: Lot #: Block #:
Code: Res scl ft: Com sci ft: Ind scl ft: Basement scl ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: POLIDRE VALLEY AIR License #: H-835 Supervisor cert#:
2416 DONELLACT#A
FORT COLLINS, CO 80524 Phone: 970-493-2050
Subcontractor(s►_-- i '-,Phone I{ i License Number
Mechanical: + I POLIDRE-VALLEY AIR Li 970493-2050— , j I L�
J \ i t !_ ! i 4 )! 11 Lj I J
Work Description: Replace Furnace.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
rssible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 10/07/19: $75.86 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. 1 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
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1913203
Issued Full: 10/07/2019
Permit Type: Residential Mechanical
Site Address: 4318 MILL CREEK CT
Job Valuation: $2,187.67 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Trust Account 10/07/2019
$75.86
Receipt issued: 10/07/2019 Total Paid to Date:
$75.86
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$42.11
$42.11
10/07/2019
$0.00
County Sales/Use Tax 100.217030
$8.75
$8.75
10/07/2019
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
10/07/2019
$0.00
TOTAL FEES:
$75.86
$75.86
$0.00
TOTAL BALANCE DUE AS OF 10/07/2019: 0.00
s
Fee Amounts are valid for date of this document only. Fees subject to change without notice.