HomeMy WebLinkAbout500 Vivian St - Permits/Water Heater - 11/01/2011F6rt,Collins
Site Address: 500 VIVIAN ST
Job Valuation: $955.00 Category: Residential
Owner: OLSON, GENE/URSULA
500 VIVIAN ST
FORT COLLINS, CO 80525-4133
Zoning: Front setback:
Rear setback:
Minor Amend #:
Plat File #:
Zoning district:
LIE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ Group:
Fire Sprklr:
Stock plan #:
Contractor: COLORADO DELTA MECHANICAL
6052 EAST BASELINE RD #155
MESA, AZ
85206
Subcontractor(s) -
_ .
Plumbing: COLORADO DELTA MECHANICAL
i
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1109921
Issued Full: 11/01/2011
Permit Type: Residential Water Heater
Phone:561-441-4263
Right setback:
ZBA Case #:
Filing #: Lot #:
Ind sq ft: _
Const Type:
Stock plan options:
Left setback:
Basement sq ft:
Block #:
License #: MP-644 Supervisor cert #:
Phone:866-692-5273
Phone License Number
% 866-692-5273 - \MP 649 -
Work Description: REPLACE WATER HEATER 40 GAL'LON GAS.38;000 BTU'S
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 11/01111: $37.22 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare that I am the owner or 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.
54�P'� N�V 0'1 2011
Signature: Print Name: Cm 1 -C C) kr Date:
Form Revised Oct2010
City of
Fort Collins
Site Address: 500 VIVIAN ST
Job Valuation: $955.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 11/01/2011 $37.22
Receipt issued: 11/01/2011 Total Paid to Date: $37.22
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $18.40
County Sales/Use Tax 100.217030 $3.82
Permit Flat Fee w/o Subs $15 1000.422010 $15.00
TOTAL FEES:
Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1109921
Issued Full: 11/01/2011
Permit Type: Residential Water Heater
Comments
COLORADO DELTA TRUST
Amount Paid Date Paid Amount Due
$18.40 11/01/2011 $0.00
$3.82 11/01/2011 $0.00
$15.00 11/01/2011 $0.00
$37.22 $37.22
$0.00
TOTAL BALANCE DUE AS OF 11/01/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.