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HomeMy WebLinkAbout919 Marshall St - Permits/Water Heater - 03/08/2013mun rfCollins Site Address: 919 MARSHALL ST Job Valuation: $271.70 Category: Residential Owner: GRUNDMAN DEAN A 919 MARSHALL ST FORT COLLINS, CO 80525 Zoning: Front setback: 281 N. CollegeAue Fort Collins, CO 8o522 97o.221.676o 970.224.6134 -fax Building Permit #: B1301050 Issued Full: 03/08/2013 Permit Type: Residential Water Heater Phone: 970-219-3911 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD Rear setback: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan # Contractor: Subcontractor(s) Filing #: Lot #: Block* Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: Phone: Phone Supervisor cert#: License Number Work Description: ReDlacerrent of natural oas water heater#1. I�lat of n of natural draft apliances with a draft'hood requires a combustion safety test prior to final approval Nomeowner�nAI6 SCHEDULE INSPECTIONS: *" By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Ins ections: FNP FNE FNM TOTAL FEES PAID AS OF 03/08/13: $31.06 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 workon 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: /�/,c, Print Name: ,Z' l *V Date: 0 Form Revised Oot 2010 �fCollins Site Address: 919 MARSHALL ST Job Valuation: $271.70 Category: Residential Transactions 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134-fax Building Permit #: B1301050 Issued Full: 03/08/2013 Permit Type: Residential Water Heater Method Check Number Date Paid Amount Paid Comments Credit Card 03108/2013 $31.06 Pay by Dean Grundman credit card Receipt issued: 03/08/2013 Total Paid to Date: $31.06 Fee Description Account Code Fee Amount Amount Paid Date Paid City Sales/Use Tax 251.122030 $5.24 $5.24 03/08/2013 County Sales/Use Tax 100.217030 $0.82 $0.82 03/08/2013 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 03/08/2013 TOTAL FEES: $31.06 $31.06 .yv.vv $0.00 $0.00 $0.00 TOTAL BALANCE DUE AS OF 03108/2013: $0.00 1 1 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010