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HomeMy WebLinkAbout2619 Belgian Ct - Permits/Water Heater - 11/03/2009Fort Collins Site Address 2619 BELGIAN CT Job Valuation $1,609 00 Category Residential Owner STOLARCZYK CHESTER W 2619 BELGIAN CT FORT COLLINS CO 80526 1156 Zoning Front setback Rear setback Zoning district RL Plat File # Legal Subdivision/PUD Code Res sq ft Com sq ft # of stories Occ Group Stock plan # Contractor BEN FRANKLIN PLBG/NO COLO 1833 E HARMONY RD STE 2 FORT COLLINS CO 80528\� Neighborhood & Building Services 281 N College Ave Fort Collins CO 80522 o58o Phone 970 221 676o Fax 970 224 6134 BUILDING PERMIT # B0906468 Issued Full 11/03/2009 Permit Type Residential Water Heater Phone _ Right setback Left setback ZBA Case # Minor Amend # Filing # Lot # Block # Ind sq ft Basement sq ft Const Type Stock plan options r, License # MP 598 Supervisor cart # Phone 970 488 2419 Subcontractor(s1—� 7 I I/ Phone License Number Plumbing BEN FRANKLIN PLBG/NO COLO C7o 2419 ❑ MP 598 O Work Description INSTALLED WATER HEATER II " SCHEDULE INSPECTIONS " By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess �I Ins ections FNP FNE FNM TOTAL FEES PAID AS OF 11/03/09 5 59 Payment method Trust Account Fee Derail Displayed on Next Page As a condition for the issuance of a permit I hereby declare that I am the owneror 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 irdonnabon This permit shall beam a null and void if the work authorized by such permit is not commenced suspended abandoned or riot inspected whin 180 days from the date of such permit. Signature Print Name Date Form Revised Oct 2008 Fort Collins Site Address 2619 BELGIAN CT Job Valuation $1,609 00 Category Residential Transactions Method Check Number Date Paid Trust Account 11/03/2009 Receipt issued 11/03/2009 Total Paid to Date Fee Description Account Code City Sales/Use Tax 251 122030 County Sales/Use Tax 100 217030 Permit Flat Fee w/o Subs $15 1000 422010 Amount Paid $45 59 $45 59 Neighborhood & Building Services 281N College Ave Fort Colhns CO80522 o58o Phone 970 221 676o Fax 970 224 6134 BUILDING PERMIT # B0906468 Issued Full 11/03/2009 Permit Type Residential Water Heater Comments BEN FRANKLIN PLBG/NO COLO Fee Amount Amount Paid $24 15 $24 15 $6 44 $6 44 $1500 $1500 Date Paid Amount Due 11/03/2009 $0 00 11103/2009 $0 00 11/03/2009 $000 TOTAL FEES $45 59 $45 59 $0 00 J � TOTAL BALANCE DUE AS OF 11/03/2009 0 00 >J ❑ O O Fee Amounts are valid for date of this document only Fees subject to change without notice