HomeMy WebLinkAbout1651 Ukiah Ln - Permits/Water Heater - 11/23/2009of
,:rt_rl
'1-,
Site Address 1651 UKIAH LN
Job Valuation $1,434 00 Category Residential
Owner KAPLAN HELEN M
1651 UKIAH LN
FORT COLLINS CO 80525
Zoning Front setback Rear setback
Zoning district LMN Plat File #
Legal Subdivision/PUD
Code Res sq ft Com sq ft
# of stones Occ Group
Stock plan #
Contractor ALLEN PLUMBING & HEATING
101 S LINK LANE PO BOX 567
FORT COLLINS CO 180522
Subcontractor(s)---�
Plumbing ALLEN PLUMBING & HEATING-L
oil
Work Description REPLACE WATER HEATER
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
BUILDING PERMIT # B0907438
Issued Full 11/23/2009
Permit Type Residential Water Heater
Phone 970 420 6576
Right setback Left setback
ZBA Case # Minor Amend #
Filing # Lot # Block #
Ind sq ft
Const Type
Stock plan options
Basement sq ft
License # MP-4 Supervisor cert #
Phone 970 484 4848
License Number
Q MP-4
t
** SCHEDULE INSPECTIONS *** By Phone 221 6769 *** By Web http //aaweb fcgov com/CitizenAccess**
Inspections FNP FNE FNM
TOTAL FEES PAID AS OF 11/23/09 15 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 rf the work authorized by such permit is not commenced
suspended abandoned or not inspected within 180 days from the date of such permit
Signature Print Name
Form Revised Oct 2008
Date
of
F6rtty
`ins
Site Address 1651 UKIAH LN
Job Valuation $1,434 00 Category Residential
Transactions
Method Check Number Date Paid
Trust Account 11/23/2009
Receipt issued 11/23/2009 Total Paid to Date
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000 422010
TOTAL FEES
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
BUILDING PERMIT # B0907438
Issued Full 11/23/2009
Permit Type Residential Water Heater
Amount Paid Comments
$15 00 ALLEN PLUMBING 8 HEATING
$15 00
Fee Amount Amount Paid Date Paid
$15 00 $15 00 11/23/2009
$15 00 $15 00
Amount Due
$0 00
$0 00
> TOTAL BALANCE DUE AS OF 11/23/2009 0 00
9DLl
Fee Amounts are valid for date of this document only Fees subject to change without notice