HomeMy WebLinkAbout3237 Shallow Pond Dr - Permits/Water Heater - 06/19/2013Collins
Site Address: 3237 SHALLOW POND DR
Job Valuation: $1,094.10 Category: Residential
Owner: GLASSER JEFFREY E
Community Development r& Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1303039
Issued Full: 06119=13
Permit Type: Residential Water Heater
3237 SHALLOW POND DR
FORT COLLINS, CO 80528 Phone: 970-225-2976
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: PAUL'S PLUMBING & HTG License #: MP-373 Supervisor cert If:
335 8TH ST S.E.' '
LOVELAND, CO 80537 Phone: 970-663-3493
Subcontractors) ///'Phone License Number
Plumbing: P PLUMBING R HTG j� / /970=669.34� n MP-373
(DO
Work Description: Remove existing water heater and replace with a new water heater.
ISCHEDULE INSPECTIONS: "` By Phone: 970-221-6769 •" By Web: http://amos.fcgov.com/CitizenAccess
I II
Ill "`By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNP FNE FNM
TOTAL FEES PAID AS OF 06/19/13: S49.39 Payment method: Trust Account
Fee Detail Displayed on Next Page
Asa 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 aulfaraed by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the data of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
DELIVERED JUN 19 1013
Signature:
Print Name:
Date:
Form Revised Oct 2010
City of
Fort Collins
Site Address: 3237 SHALLOW POND DR
Job Valuation: $1,094.10 Category: Residential
Transactions
Method
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1303039
Issued Full: 06/19/2013
Permit Type: Residential Water Heater
Trust Account 06/19/2013 $49.39 Paid by PAUL'S PLUMBING & HEATING INC, trust MP-373
Receipt issued: 06/19/2013 Total Paid to Date: $49.39
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $21.10 $21.10 06/19/2013 $0.00
County Sales/Use Tax 100.217030 $3.29 $3.29 06/19/2012l $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/19/2013 $0.00
TOTAL FEES: $49.39 $49.39 $0.00
TOTAL BALANCE DUE AS OF 06/19/2013: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010