HomeMy WebLinkAbout1048 Briarwood Rd - Permits/Water Heater - 03/23/2011City, of
F6rt Collins
Site Address: 1048 BRIARWOOD RD
Job Valuation: $880.00 Category: Residential
Owner: FAST, EDWARD XCHRISTINE A, REVOCABLE
1052 BRIARWOOD RD
FORT COLLINS, CO 80521
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1101137
Issued Full: 03/23/2011
Permit Type: Residential Water Heater
Phone:
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan M
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
Contractor: BERSHINSKY P & H License #: MP-143 Supervisor cert#:
P.O. BOX 679
FORT COLLINS, CO 80522 Phone: 970-493-4355
Subcontractorlisi �', Phone F� License Number
Plumbing: j BERSHINSKY F & H- � --., F ;/ 970-493-4355
Work Description: REPLACE WATER HEATER
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Ilnspections: FNP FNE FNM
TOTAL FEES PAID AS OF 03/23/11: $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 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.
Ow
Signature: Print Name: Date: —4 01A1
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1048 BRIARWOOD RD
Job Valuation: $880.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 03/23/2011
Receipt issued: 03/23/2011 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
r
Amount Paid
$15.00
$15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.626o 970.224.6134 -fax
Building Permit #: B1101137
Issued Full: 03/23/2011
Permit Type: Residential Water Heater
Comments
Fee Amount Amount Paid Date Paid
$15.00 $15.00 03/23/2011
$15.00 $15.00
TOTAL BALANCE DUE AS OF 03/23/2011:
Amount Due
$0.00
v
$0.00
MOOR
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form
Amount Paid
$15.00
$15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.626o 970.224.6134 -fax
Building Permit #: B1101137
Issued Full: 03/23/2011
Permit Type: Residential Water Heater
Comments
Fee Amount Amount Paid Date Paid
$15.00 $15.00 03/23/2011
$15.00 $15.00
TOTAL BALANCE DUE AS OF 03/23/2011:
Amount Due
$0.00
v
$0.00
MOOR
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form