HomeMy WebLinkAbout1245 Dewey Dr - Permits/Water Heater - 06/21/2010�,F,�ort Collins
Site Address 1245 DEWEY DR
Job Valuation 734 00 Category Residential
Owner ROSENBUSCH RYAN B
1245 DEWEY DR
FORT COLLINS CO 80526
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
97o 221 676o 97o 224 6134 fax
Building Permit # B1003854
Issued Full 06/21/2010
Permit Type Residential Water Heater
Phone 970 581 5336
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district LMN LOW DENSITY MIXED USE NEIGHBORHOOD DISTRICT
Legal Subdivision/PUD
Filing # Lot # 160 Block #
Code Res sq ft Com sq ft Ind sq ft Basement sq ft
# of stories Occ Group Const Type
Fire Sprkir Stock plan # Stock plan options
Contractor COLORADO DELTA MECHANICAL License # MP-W Supervisor cert #
6052 EAST BASELINE RD #155
MESA AZ 8522006, LL \�� l : J 1 Phone 866 898 0008
Subcontractor( )� \� Phone
0 0
REPLACE WATER
License Number
L " SCHEDULE INSPECTIONS "' By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess!lil
Ins ections FNP FNE FNM
TOTAL FEES PAID AS OF 06/21/10 28 95 Payment method Trust Account
Fee Detail Displayed on Next Page
Asa condition for the issuanoe of a pemut, I hereby dedare ttat I am the owneror owners agent, au&ffized to perform the proposed work on the property desonbed herein
I agree to comply with all the requirements oontained 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 inconed infornabon This permit shall become null and void d the work authorized by such permit is not commenced
suspended abandoned or not inspected within 180 days from the data of such permit
Signature Print Name
Farm Revised May 2010
Date
art of
Site Address 1245 DEWEY DR
Job Valuation 734 00 Category Residential
Transactions
Community Development & Neighborhood Services
281 N College Ave Fort Collins C0 80522
970 2216760 970 224 6134 fax
Building Permit # B1003854
Issued Full 06/21/2010
Permit Type Residential Water Heater
Trust Account 06/21/2010 $28 95 COLORADO DELTA MECH
Receipt issued 06/21/2010 Total Paid to Date $28 95
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251 122030 $11 01 $11 01 06/21/2010 $0 00
County Sales/Use Tax 100 217030 $2 94 $2 94 06/21/2010 $0 00
Permit Flat Fee w/o Subs $15 1000 422010 $15 00 $15 00 06/21/2010 $0 00
TOTAL FEES $28 95 $28 95 $0 00
CCT&1A1- BALANCE DUE AS OF 06/21/2010 iq. 00
r
Fee Amounts are valid for date of this document only Fees subject to change without notice
Form Revised Mav 2010