HomeMy WebLinkAbout2301 Mathews St - Permits/Water Heater - 05/21/2015City of
�t Collins
Site Address: 2301 MATHEWS ST
Job Valuation: $1,246.00 Category: Residential
Owner: HEENEY VIRGINIA L
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503777
Issued Full: 06/21/2015
Permit Type: Residential Water Heater
2301 MATHEWS ST
FORT COLLINS, CO 80525-1704 Phone: 970-493-0037
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: 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: COLORADO DELTA MECHANICAL License #: MP-644 Supervisor cert#:
6056 E. baseline Rd. Ste #155
Mesa, AZ 85206 Phone: 480-222-0775
Subcontractors) : PFione License Number
Plumbing: ! COLORADO DELTA MECHANICAL 480-222 0775._
U I 1 p4� f � ! ✓ �^�/
Work Description: Replace 40 gallon gas water heater 40k BTU's
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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 05121/15: $53.04 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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���Y � Community Deuelopment&Neighborhood Services
Fo rt Col l i ns 281 N. College Ave Fort Collins, CO 80522
97o.22i.6�6o 9�0.224.6i34 -fax
Building Permit#: B1503777
issued Full: 05/21/2015
Permit Type: Residential Water Heater
Site Address: 2301 MATHEWS ST
Job Valuation: 1 246.00 Category: Residential
: Transactions
` Method Check Number Date Paid Amount Paid Comments
TrustAccount 05l21/2015 $53.04
Receipt issued: 05/21/2015 Total Paid to Date: 553.04
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City SaleslUse Tax 251.122030 $23.99 $23.99 05/21/2015 $0.00
County Sales/Use Tax 100.217030 $4.05 $4.05 05/21/2015 $0.00
'' Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 05/21/2015 $0.00
TOTAL FEES: $53.04 $53.04 $0.00
TOTAL BALANCE DUE AS OF 05/21/2015: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2010