HomeMy WebLinkAbout1701 Brookhaven Cir W - Permits/Water Heater - 02/15/2012City of
F6rt
Collins
Site Address: 1701 BROOKHAVEN CIR
Job Valuation: $900.00 Category: Residential
Owner: OATIS KATHLEEN A
10278 FALCON ST
FIRESTONE, CO 80504-3508
Phone:
ty Development Kr Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1200748
Issued Full: 02/16/2012
Permit Type: Residential Water Heater
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File* - ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: NORTH. COLORADO A
812 STOCKTON AVE
,JIR
FORT COLLINS, CO 80524
Subcontractor`(s
Mechanical:
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J�
WorJ
k Descriotioi
REQUIRES A COMBI
License #: H-837 Supervisor cart#:
Phone: 970-223-8873
er
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 02/15112: $25.00 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 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.
SHaPT F E B 17 2012 In
Signature: Print Name:®'v, Date:
Form Revised Oct 2010
F6rtCollins
Site Address: 1701 BROOKHAVEN CIR
Job Valuation: $900.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 02/15/2012
Receipt issued: 02/15/2012 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $25 1000.422010
Amount Paid
$25.00
$25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit#: B1200748
Issued Full: 02116/2012
Permit Type: Residential Water Heater
Comments
NORTH. COLO TRUST
Fee Amount Amount Paid Date Paid Amount Due
$25.00 • $25.00 02/15/2012 $0.00
TOTAL FEES: $26.00 $26.00 $0.00
TOTAL BALANCE DUE AS OF 02115/2012: 0.00
x,
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.