HomeMy WebLinkAbout744 Eastdale Dr - Permits/Water Heater - 08/16/2011Fort Collins
Site Address: 744 EASTDALE DR
Job Valuation: $913.00 Category: Residential
Owner: SAXERUD, ANNETTA C
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1105060
Issued Full: 08/16/2011
Permit Type: Residential Water Heater
744 EASTDALE DR
FORT COLLINS, CO 80524 Phone: 970-231-3413
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Filing M Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: COLORADO DELTA MECHANICAL
6052 EAST BASELINE RD#165,
MESA, AZ 85206Ll
Subcontractoilsl-
Plumbing: COLORADO DELTA_C HAN CAL
Q
WorkDescription: REPLACEWATER _HEATER 40GALLON 'GA:
License #: MP-644 Supervisor cert#:
Phone: 866-692-5273
Phone License Number
866-692-5273 ❑ MP-644
TOTAL FEES PAID AS OF 08/16/11: $36.25 Payment method: Trust Account
Fee Detail Displayed on Next Page
Asa 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 information. This permit shall become null and void ff the work authorized by such permit is not commenced,
suspended, abandoned or riot inspected within 180 daysfrom the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
WD AUG 18 2011
Signature: Print Name: W Date:
Form Revised Oct 2010
arof
t Collins
Site Address: 744 EASTDALE DR
Job Valuation: $913.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1105060
Issued Full: 08/16/2011
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid
Trust Account 08/16/2011
Amount Paid
$36.25
Comments
COLO DELTA TRUST ACCT
Receipt Issued: 08/16/2011 Total Paid to Date:
$36.25
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$17.59
$17.59
08/16/2011
County Sales/Use Tax 100.217030
$3.66
$3.66
08/16/2011
Permit Flat Fee w/o Subs $15 1000.422010
$15.00
$15.00
08/16/2011
TOTAL FEES:
$36.25 $36.25
Amount Due
$0.00
$0.00
$0.00
$0.00
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