HomeMy WebLinkAbout4619 Crest Rd - Permits/Water Heater - 11/30/2012City of
�,F`rt Collins
Site Address: 4619 CREST RD
Job Valuation: $1,098.00 Category: Residential
Owner: JENSEN KAI-UWE
4619 CREST RD
FORT COLLINS, CO 80526
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B1207107
Issued Full: 11/30/2012
Permit Type: Residential Water Heater
Phone:970-377-1731
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:
Rear setback:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: CISCO PLUMBING
2825 MONTEREY BAY
EVANS, CO 80620
Subcontractof(s)_ _ j
Plumbing: ( CISCO PLUMBING jLl
F
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-624
Phone: 970-506-1686
Basement sq ft:
�Phone j
s7o=50&1686
1 I
Supervisor cert #:
License Number
MP-624
1 r
� t
Work Description: Reolace 50 gallon hot water heater. Installation of natural draft appliances with a dr--_ aft boo s a
Combustion Safety Test prior to final approval.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 11130/12: $49.43 Payment method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed work on the property described herein.
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
of
,;rt� Collins
Site Address: 4619 CREST RD
Job Valuation: $1,098.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 11/3012012 $49.43
Receipt issued: 11/30/2012 Total Paid to Date: $49.43
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
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1207107
Issued Full: 11/30/2012
Permit Type: Residential Water Heater
Comments
Paid by Cisco cc
Fee Amount
Amount Paid
$21.14
$21.14
$3.29
$3.29
$25.00
$25.00
Date Paid
Amount Due
11/30/2012
$0.00
11/30/2012
$0.00
11/30/2012
$0.00
TOTAL FEES: $49.43 $49.43 $0.00
TOTAL BALANCE DUE AS OF 11/30/2012: 0.00
LJ
i
I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010