HomeMy WebLinkAbout6575 ROOKERY RD - PERMITS - 10/14/2019'City O� Community Development &Neighborhood Services
lCollins 28zN.College Ave Fort Collins, CO80522
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970.221.676o 970.224.6134 -fax
Building Permit #: B1913592
Issued Full: 10/14/2019
Permit Type: Residential Mechanical
Site Address: 6575 ROOKERY RD
Job Valuation: $4,075.37 Category: Residential
Owner: LING JAMES G REV TRUST
6575 ROOKERY RD
FORT COLLINS, CO 80528 Phone: 970-377-1193
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: UE - URBAN ESTATE 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: FORT COLLINS HEATING & AIR License #: H-1309 Supervisor cert#:
208 COMMERCE DR#4
FORT COLLINS, CO 80524 Phone: 970484-4552
Subcontractor(s) _- Phone License Number
Mechanical: FORT COLLINS HEATING &AIR 970-484-4552 , H-1309
Work Description: Replace air conditioner.
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
Possible Inspections Required: 204 302 300 301
TOTAL FEES PAID AS OF 10/14/19: $119.75 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
�.,F`or�t Collins
:e Address: 6575 ROOKERY RD
b Valuation: $4,075.37 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 10/14/2019 $119.75
Receipt issued: 10/14/2019 Total Paid to Date: $119.75
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $78.45
County Sales/Use Tax 100.217030 $16.30
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1913592
Issued Full: 10/14/2019
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$78.45 10/14/2019 $0.00
$16.30 10/14/2019 $0.00
$25.00 10/14/2019 $0.00
$119.75 $119.76
$0.00
TOTAL BALANCE DUE AS OF 10/1412019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010