HomeMy WebLinkAbout4225 Fall River Dr - Permits/Water Heater - 02/06/2012City of
�t Collins
Site Address: 4225 FALL RIVER DR
Job Valuation: $3,100.00 Category: Residential
Owner: PREVEDEL DANIEL W
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1200567
Issued Full: 02/06/2012
Permit Type: Residential Water Heater
4225 FALL RIVER DR
FORT COLLINS, CO 80526-4136 Phone: 231-0314
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan M
Contractor: ROBERTS HEATING_ & AIR
200 LINCOLN � `
NUNN, CO 80648
Subcontractoi(s1� \, �' '
Mechanical: ROBERTS HEATING & AIR
O
IF
Work Descriation: REPLACE WATER HEATER
Filing M Lot M Block #:
Ind sq ft: _
Const Type:
Stock plan options:
Basement sq ft:
License M H-1602 Supervisor cert #:
Phone: 970-897-2337
License Number
❑ H-1602
II SCHEDULE INSPECTIONS: "** By Phone: 970-221-6769 *"* By Web: http://amos.fcgov.com/CitizenAccess II
""*By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 02/06/12: $97.08 Payment method: Check 15945
Fee Detal/ 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 infornabon. 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: Print Name: Date: ! >
Form Revised Oct 2010
/0�F�ort Collins
Site Address: 4225 FALL RIVER DR
Job Valuation: $3,100.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 15945 02/06/2012
Receipt issued: 02/06/2012 Total Paid to Date:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200567
Issued Full: 02/06/2012
Permit Type: Residential Water Heater
Amount Paid Comments
$97.08 ROBERT HEATING 8 AIR CK#15945
$97.08
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$59.68
$59.68
02/06/2012
County Sales/Use Tax 100.217030
$12.40
$12.40
02/06/2012
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
02/06/2012
TOTAL FEES: $97.08 $97.08
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 02106/2012: 0.00
Q co
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010