HomeMy WebLinkAbout2013 Overlook Dr - Permits/Water Heater - 04/12/2013City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit#: B1301659
Issued Full: 04/12/2013
Site Address: 2013 OVERLOOK DR
Job Valuation: $825.00 Category: Residential
Owner: SIMMONS STEPHEN M/LINDA
2013 OVERLOOK DR
FORT COLLINS, CO 80526
Zoning: Front setback:
Permit Type: Residential Water Heater
Phone: 303-956-7692
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
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: COLORADO DELTA MECHANICAL
6056 EAST BASELINE RD#155
MESA, AZ 85206
Subcontractori;s)
Plumbing: I COLORADO-DELT
i MECHANICAL
V � L
Work Description: Replace water heater 50 gallon g
License #: MP-644 Supervisor cert #:
Phone: 866-692-5273
License Number
A M P-644.—
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess I�
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
FNP FNE FNM
TOTAL FEES PAID AS OF 04/12/13: $43.38 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.
ENTERED APR 1 2 2013
Signature:
Print Name:
Date:
Form Revised Oct 2010
Fv' %7 "1 281 N. College Ave Fort Collins, CO 80522
ort Collins 970.221.676o 970.224.6134-fax
Building Permit #: B1301659
Issued Full: 04/12/2013
Permit Type: Residential Water Heater
Site Address: 2013 OVERLOOK DR
Job Valuation: $825.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 04/12/2013 $43.38 colorado delta trust
Receipt issued: 04/12/2013 Total Paid to Date: $43.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $15.90 $15.90 04/12/2013 $0.00
County Sales/Use Tax 100.217030 $2.48 $2.48 04/12/2013 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 04/12/2013 $0.00
TOTAL FEES: $43.38 $43.38 $0.00
TOTAL BALANCE DUE AS OF 04/12/2013: 0. 00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.