HomeMy WebLinkAbout5620 Fossil Creek Pkwy - Permits/Water Heater - 05/06/2014Community Development & Neighborhood Services
' 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1402212
Issued Full: 05/06/2014
Permit Type: Residential Water Heater
Site Address: 5620 FOSSIL CREEK PKWY, 9 303
Job Valuation: $1,870.00 Category: Residential
Owner: RENNER ROBERT C
1922 S PEARL ST
DENVER, CO 80210-4041 Phone: 720-251-6017
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 301 Block #:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: ALLEN PLUMBING & HEATING
101 S. LINK LANE
FORT COLLINS, CO 80521
Subcontractors) ____ - 1
Plumbing: ALLEN PLUMBING &.HEATING
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP4
Phone:970-484-4848
/� �PFione
I / 970-084-4848. �.
Supervisor cert#:
License Number
1--i L
Work Description: Remove existing 40gal water heater and snl fall.new 40gal water heater.
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
**By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 06/06114: $66.61 Payment method: Trust Account
Fee Detail Displayed on Next Page
Asa 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 properly 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 100 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
,,F.,�o�rt` Collins
Site Address: 5620 FOSSIL CREEK PKWY, 9 303
Job Valuation: $1,870.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 05/06/2014
Receipt issued: 05/06/2014 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 $25 1000.422010
TOTAL FEES:
Amount Paid
$66.61
$66.61
ty Deveiopment & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit#: B1402212
Issued Full: 05/06/2014
Permit Type: Residential Water Heater
Comments
Trust acct payment.
Fee Amount
Amount Paid
$36.00
$36.00
$5.61
$5.61
$25.00
$25.00
$66.61 $66.61
Date Paid
Amount Due
05/06/2014
$0.00
05/06/2014
$0.00
05/06/2014
$0.00
$0.00
TOTAL BALANCE DUE AS OF 05/06/2014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.