HomeMy WebLinkAbout636 Cheyenne Dr - Permits/Water Heater - 04/24/2013F6rytCollins
Site Address: 636 CHEYENNE DR, 40
Job Valuation: $1,195.00 Category: Residential
Owner: COLLINS FAMILY TRUST FBO JODY C BUCK
40369 US HWY 34
WRAY. CO 80758
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.22 4.6134 -fax
Building Permit #: B1301875
Issued Full: 04/24/2013
Permit Type: Residential Water Heater
Phone:970-332-4262
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s)__ _
Mechanical: NORTHERN_COLORADO_AIR_INC
L U
Work Description: Replace water heater
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837
Phone:970-223-8873
Supervisor cert#:
License Number
H- 837
' I
Ll
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 04/24/13: $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 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 3 1013
Signature:
Print Name:
Date:
Form Revised Oct 2010
rfCollins
Site Address: 636 CHEYENNE DR, 40
Job Valuation: $1,195.00 Category: Residential
Transactions
unity Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -far
Building Permit #: B1301875
Issued Full: 04/24/2013
Permit Type: Residential Water Heater
Method Check Number Date Paid Amount Paid Comments
Trust Account 04/24/2013 $25.00 nca trust
Receipt issued: 04/24/2013 Total Paid to Date: $25.00
Fee Description, Account Code Fee Amount Amount Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$25.00 $25.00
Date Paid
04/24/2013
TOTAL BALANCE DUE AS OF 04/2412013:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.