HomeMy WebLinkAbout520 Ponderosa Dr - Permits/Water Heater - 12/07/2012City Of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, COSog22
970.221.676o 970.224.6134 -fax
Building Permit #: B1207138
Issued Full: 12/07/2012
Permit Type: Residential Water Heater
Site Address: 520 PONDEROSA DR
Job Valuation: $1,695.00 Category: Residential
Owner: MAHARRY RANDALL R/JANET K
520 PONDEROSA DR
FORT COLLINS, CO 80521 Phone: 515-422-4833
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD 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 #: MP-4 Supervisor cert#:
101 S. LINK LANE
FORT COLLINS, CO 80521 Phone: 970-484-4848
Subcontractors) Phone License Number
Plumbing: j ALLEN PLUMBING & HE TINE' �970j'484-4848 _ MP-LJ
_
�_j IL
Work Description: REPLACE WATER HEATER AND INSTALL NEW�WATER HEATER
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/07/12: $25.00 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.
SN1D DEC 0 7 2012
Signature: Print Name: c "f Date:
Form Revised Oct 2010
/0�..�Y �.
F6rt Collins
Site Address: 520 PONDEROSA DR
Job Valuation: $1,695.00 Category: Residential
.mity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1207138
Issued Full: 12/07/2012
Permit Type: Residential Water Heater
Method Check Number Date Paid Amount Paid Comments
Trust Account 12/07/2012 $25.00 Allen Trust
Receipt issued: 12/07/2012 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 12/07/2012 $0.00
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 12107/2012:
$0.00
LI-02-0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.