HomeMy WebLinkAbout4640 WITHERS DR - PERMITS - 4/3/2019 (2)Frt Collins
Site Address: 4640 WITHERS DR
Job Valuation: $8,271.00 Category: Residential
Owner: ROGERS DAVID XCHRISTIE L
4640 WITHERS DR
FORT COLLINS, CO 80524-6017
Zoning: Front setback:
Rear setback:
ty Development & Neighborhood Services
281N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit##: B1902020
Issued Full: 04/03/2019
Permit Type: Residential Mechanical
Phone:970-402-5036
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: 39 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
101 S LINK LANE!'
FORT COLLINS'' CO 805211
Subcontractortsi
Mechanical: ALLEN PLUMBING & HEATING
Work Description: Replace a�conditioner.
License #: H-871
Phone: 970-484-4841
4841
t
Supervisor cert#:
License Number
H-871
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i L�
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 11
TOTAL FEES PAID AS OF 04103/19: $217.30 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 owner's 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,.r't Collins
Site Address: 4640 WITHERS DR
Job Valuation: $8,271.00 Category: Residential
Transactions
Method Check number Date Paid
Trust Account 04/03/2019
Receipt issued: 04/03/2019 Total Paid to Date
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$217.30
$217.30
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Comments
Building Permit#: B1902020
Issued Full: 04/03/2019
Permit Type: Residential Mechanical
Fee Amount
Amount Paid
$159.22
$159.22
$33.08
$33.08
$25.00
$25.00
$217.30 $217.30
Date Paid
Amount Due
04/03/2019
$0.00
04/03/2019
$0.00
04/03/2019
$0.00
$0.00
YA
{ , 1' ' TOTAL BALANCE DUE AS OF 04/0312019: 0.00
o 11 j
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.