HomeMy WebLinkAbout3220 Mesa Verde St - Permits/Water Heater - 05/24/2011 (2)Site Address: 3220 MESA VERDE ST
Job Valuation: $855.00 Category: Residential
Owner: EMBRY, LEO J/RITA R
3220 MESA VERDE ST
FORT COLLINS, CO 80525
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 #: 131102205
Issued Full: 05/24/2011
Permit Type: Residential Water Heater
Phone: 970-223-6554
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: COLORADO DELTA MECHANICAL
6052 EAST BASELINE RD #155
MESA, AZ 85206
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: MP-644
Phone: 866-692-5273
Basement sq ft:
Supervisor cert #:
Subcontractor(s)-- /� Phone !
Plumbing: COLORADO-DELTA MECHANICAL / 866-692-5/273___,� I
License Number
Work Description: REPLACE WATER HEATER 50-GALLON GAS: 36,600 BTU'S
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess *"
Ilnspections: FNP FNE FNM
TOTAL FEES PAID AS OF 05/24/11: $34.90 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.
Signature: (uai ogt&.-Print Name: Date:
Form Revised Oct 2010
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Site Address: 3220 MESA VERDE ST
Job Valuation: $855.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 05/24/2011
Receipt issued: 05/24/2011 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $15 1000.422010
Amount Paid
$34.90
$34.90
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102205
Issued Full: 05/24/2011
Permit Type: Residential Water Heater
Comments
Fee Amount.
Amount Paid
$16.48
$16.48
$3.42
$3.42
$15.00
$15.00
TOTAL FEES: $34.90 $34.90
Date Paid
Amount Due
05/24/2011
$0.00
05/24/2011
$0.00
05/24/2011
$0.00
$0.00
TOTAL BALANCE DUE AS OF 05/24/2011: 0. 00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.