HomeMy WebLinkAbout4050 Kingsley Ct - Permits/Water Heater - 01/10/2012Fo�rt Collins
Site Address: 4050 KINGSLEY CT
Job Valuation: $1,170.00 Category: Residential
Owner: STEIN IRENE F
4050 KINGSLEY CT
FORT COLLINS, CO 80525
Zoning: Frontsetback: Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200109
Issued Full: 01/10/2012
Permit Type: Residential Water Heater
Phone: 970-484-2592
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 6 Black #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ALLEN PLUMBING&_HEATING
101 SLINK AVE/- :-I License #: H-871 Supervisor cert#:
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FORT COLLINS, CO 80521 \ " � 1 ' ' Phone: 970-494-7623
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Subcontractor(s)� �� ,; License Number
Mechanical: ALLEN PLUMBING & SATING -7623 [� H-871
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Work DescriDtion: REMOVE EXISTING WATER HEATER' HEN INSTALL NEW WATER HEATER. INSTALLATIOWOF,�
NATURAL DRAFT APPLIANCES'WITH A DRAFT HOOD"REQU,IRES A COMBUTION SAFETY TEST PRIOR TO FINAL APPROVAL.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 01/10/12: $25.00 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 desaibed 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 permd 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.
SHIPD J AN 10 2012
Signature:
Print Name: r ( I V 1 Date:
Form Revised Oct 2010
F
6nIf —
Collins
Site Address: 4050 KINGSLEY CT
Job Valuation: $1,170.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1200109
Issued Full: 01110/2012
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 01/10/2012 $25.00 ALLEN TRUST ACCT
Receipt issued: 01/10/2012 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/10/2012
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 01/10/2012:
777T7771
Amount Due
$0.00
$0.00
M-.102-0