HomeMy WebLinkAbout621 Keenesburg Ct - Permits/Water Heater - 03/31/2015 (2)of
City Collins
Site Address: 621 KEENESBURG CT
Job Valuation: $1,727.00 Category: Residential
Owner: GUTHRIE JOHN T/PATRICIA A
621 KEENESBURG CT
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
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Building Permit #: B1502073
Issued Full: 03/31/2015
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: Filing#: Lot#: 147 Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBING & HEATING
101 S. LINK LANE
FORT COLLINS, CO 80524
Subcontractor(s)
Plumbing: ALLEN PLUMBING & HEATING
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Const Type: _
Stock plan options:
License #: MP-4 Supervisor cert#:
Phone: 970-484-4841
-Phone License Number
970-484-4841 t I -�,MP-4 -"
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Work Description: Install 2 of 2 water heaters.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 03/31115: $63.86 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
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t Collins
Site Address: 621 KEENESBURG CT
Job Valuation: $1,727.00 Category: ' Residential
Transactions
Method Check Number Date Paid
Trust Account 03/31/2015
Receipt issued: 03/31/2015 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
$63.85
$63.85
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1502073
Issued Full: 03/31/2015
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$33.24
$33.24
$5.61
$5.61
$25.00
$25.00
$63.85 $63.86
Date Paid
Amount Due
03/31/2015
$0.00
03/31/2015
$0.00
03/31/2015
$0.00
$0.00
TOTAL BALANCE DUE AS OF 03/31/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.