HomeMy WebLinkAbout3500 Rolling Green Dr - Permits/Water Heater - 08/15/2014of
F6rt Collins
Site Address: 3500 ROLLING GREEN DR, J 39
Job Valuation: $1,391.00 Category: Residential
Owner: HAAS CALVIN E
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1403604
Issued Full: 08/16/2014
Permit Type: Residential Water Heater
3500 ROLLING GREEN DR UNIT J39
FORT COLLINS, CO 80525 Phone:
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:
Filing #: Lot #: Block #:
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: BEN FRANKLIN PLUMBING OF NORTHERN
COLORADO
485 DENVER AVE
LOVELAND,_C.O 80537
SubcontractorIs)-- -!
Plumbing: i I BEN FRANKLIN PLUMBING;OF N!
I I 1 ti, lf� I I I
License #: MP-598 Supervisor cert#:
Phone: 970-.66-9.8187
ri I
-Phone I ". I r i License Number
MP-598� .ti>
Work Description: Install 50,gallon water heater,.corribustion safety et st required
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 08/15/14: $55.95 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:
Print Name:
Date:
Form Revised Oct 2010
fins
Site Address: 3500 ROLLING GREEN DR, J 39
Job Valuation: $1,391.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 08/15/2014
Receipt issued: 08/15/2014 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
$55.95
$55.95
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6.134 -.fax
Building Permit #: B1403604
Issued Full: 08/16/2014
Permit Type: Residential Water Heater
Comments
Ben Frank trust acct
Fee Amount
Amount Paid
$26.78
$26.78
$4.17
$4.17
$25.00
$25.00
$55.95 $55.95
Date Paid
Amount Due
08/15/2014
$0.00
08/15/2014
$0.00
08/1512014
$0.00
$0.00
TOTAL BALANCE DUE AS OF 08/15/2014: 0.00
71
Fee Amounts are valid for date of this document only. Fees subject to change without notice.