HomeMy WebLinkAbout1523 W Mountain Ave - Permits/Water Heater - 05/04/2011of
F6rtCollins
Site Address: 1523 W MOUNTAIN AVE
Job Valuation: $1,745.00 Category: Residential
Owner: BIRNER, THOMAS
1112 W MAGNOLIA
FORT COLLINS, CO 80521
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1101782
Issued Full: 05/04/2011
Permit Type: Residential Water Heater
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBING & HEATING
101 SLINK AVE
FORT COLLINS, CO 80521
Subcontractoi(s)
Mechanical: ALLEN PLUMBING &-HEATING I �
Plumbing: -- -ALL-EN PLUMBING & HEATING 1
I
Work Description: REMOVE EXISTING WATER
Filing #: Lot #: Block M
Ind sq ft:
Const Type:
Stock plan options:
License M H-871
Phone: 970-484-4841
Basement sq ft:
Supervisor cert #:
License Number
J
v
AND INSTALL NEW WATER HEATER
** SCHEDULE INSPECTIONS *** By Phone:. 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Ilnspections: FNP FNE FNM
TOTAL FEES PAID AS OF 05/04/11: $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 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 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.
Signature: co' •�% Print Name: Date: � 1
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1523 W MOUNTAIN AVE
Job Valuation: $1,745.00 Category: Residential
Method Check Number Date Paid
Trust Account 05/04/2011
Receipt issued: 05/04/2011 Total Paid to Date
Fee Description Account Code
Permit Flat Fee w/o Subs $15 1000.422010
TOTAL FEES:
Amount Paid
$15.00
$15.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1101782
Issued Full: 05/04/2011
Permit Type: Residential Water Heater
Comments
ALLEN TRUST ACCT
Fee Amount Amount Paid Date Paid
$15.00 $15.00 05/04/2011
$15.00 $15.00
TOTAL BALANCE DUE AS OF 05/04/2011:
Amount Due
$0.00
---- - /"
LJ L_� L✓ A_
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0. 00