HomeMy WebLinkAbout636 Cheyenne Dr - Permits/Water Heater - 07/10/2013city. of
F6rt Collins
Site Address: 636 CHEYENNE DR
Job Valuation: $2,365.00 Category: Residential
Owner: SUSAN EASTHAM
636 CHEYENNE DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1303453
Issued Full: 07/10/2013
Permit Type: Residential Water Heater
Phone:970-568-2070
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: Filing* Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
If of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: BEN FRANKLI N PLUMBING OF NORTHERN /, License #: MP-598 Supervisor cert #:
COLORADO i
485 DENVER AVE ',l Phone: 970-.66-9.8187
LOVELAND, COS 80537;
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 07/10/13: $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. DELIVERED JUL 10 2013
Signature: Print Name: Date:
Form Revised Oct 2010
For't-Collins
Site Address: 636 CHEYENNE DR
Job Valuation: $2,365.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 07/10/2013 $25.00
Receipt issued: 07/10/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 97o.224.6134 -fax
Building Permit #: B1303453
Issued Full: 07/10/2013
Permit Type: Residential Water Heater
Comments
Paid by BEN FRANKLIN PLUMBING , trust MP-598.
Amount Paid Date Paid Amount Due
$25.00 07/10/2013 $0.00
$25.00 $25.00
TOTAL BALANCE DUE AS OF 07/1=013:
f
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct 2010