HomeMy WebLinkAbout114 Fishback Ave - Permits/Water Heater - 11/20/2013FortCollins
Site Address: 114 FISHBACK AVE
Job Valuation: $3,360.00 Category: Residential
Owner: KELLER MARK
719 SANDPIPER PT
FORT COLLINS, CO 80525
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.22z.676o 970.224.6134 -fax
Building Permit #: B1306119
Issued Full: 11/20/2013
Permit Type: Residential Water Heater
Phone:
Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: CERTIFIED MECHANICAL, LLC.
2137 PRIMROSE -PR
FORT COLLINS, CO 80526
Y
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type:
Stock plan options:
Basement sq ft:
License#: H-1994 Supervisorcert#:
Phone: 970-222-1317
Subcontractor(s)------1 = �. \ -/ Phone License Number
Mechanical: CERTIFIED MECHANICAL; LLC: 970-222-1317 ElH-1994
O
Wok Description: Replace furnace and 40 gallon water heater,,-3800 B
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fegov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/`amca/
Ins actions: FNP FNE FNM
TOTAL FEES PAID AS OF 11/20/13: $99.76 Payment method: Check 3560
"* Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror owner's 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.
Signatur .
Print Name:/ ✓ -eo? {/44Date:
//-z0-i-5
Forrn Revised Oct 2010
ins
Site Address: 114 FISHBACK AVE
Job Valuation: $3,360.00 Category: Residential
Transactions
Check CK # 3560 11/20/2013 $99.76
Receipt Issued: 11/20/2013 Total Paid to Date: $99.76
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $64.68
County Sales/Use Tax 100.217030 $10.08
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1306119
Issued Full: 11/20/2013
Permit Type: Residential Water Heater
Comments
Paid by check number 3560 by Certified Mechanical
Amount Paid
Date Paid
Amount Due
$64.68
11/20/2013
$0.00
$10.08
11/20/2013
$0.00
$25.00
11/20/2013
$0.00
TOTAL FEES: $99.76 $99.76 $0.00
,,TOTAL BALANCE DUE AS OF 11/20/2013: 0.00
O 0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010