HomeMy WebLinkAbout1116 Lake Pl E - Permits/Water Heater - 12/19/2013`rf� Collins
Site Address: 1116 LAKE PL
Job Valuation: $1,200.00 Category: Residential
Owner: SULLIVAN BARBARA B
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1306563
Issued Full: 12/19/2013
Permit Type: Residential Mechanical
1116 E LAKE PL
FORT COLLINS, CO 80524-4212 Phone: 970-.48-4.2036
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: HAHN PLUMBING & HEATING
130 CHESTNUT ST
FORT COLLINS. CO 80524
Subcontractor(s) - —
Plumbing: i -HAHN PLUMBING & HEATING
Work Description: Replace 50 gallon NG water heater.
Filing #:
Ind sq ft: _
Const Type:
Stock plan options:
License #: MP-15
Phone: 970-484-7668
-Phone
_�970-4,8�4,7668
,
Lot #: Block*
Basement sq ft:
Supervisor cart #:
License Number
MP-15
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: htt ://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FINE
TOTAL FEES PAID AS OF 12/19/13: $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.
Signature:
Print Name: M m LSD. Date:
Form Revised Oct 2010
C'}" O Community Deuelopment&Neighbor ood Seruices
Fort Coll i n s 28i N. CollegeAue Fort Col(ins, CO So522
97o.22i.676o 9yo.224.6i34 -fax
Building Permit#: B1306563
Issued Full: 12/19I2013
Permit Type: Residential Mechanical
Site Address: 1116 LAKE PL
Job Valuation: 1 200.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 12/19/2013 $25.00 Trust acct payment B1306563
Receipt issued: 12/19/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 12/19/2013 $0.00
TOTAL FEES: $25.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF 1 211 9/201 3: 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 Z010