HomeMy WebLinkAbout6237 Southridge Greens Blvd - Permits/Water Heater - 06/23/2015Fo��r't Collins
Site Address: 6237 SOUTHRIDGE GREENS BLVD
Job Valuation: $1,900.00 Category: Residential
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1504678
Issued Full: 06/23/2015
Permit Type: Residential Water Heater
Owner: LAH TRUST A
48490 VISTA CALICO
LA QUINTA, CA 92253-8411 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan M
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s)
Mechanical: NORTHERN COLORADO AIR INC
Plumbing: NORTHERN COLORADO AIR
Work Description: Replace (2) water heater
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-837 Supervisor cert#:
Phone: 970-223-8873
Phone License Number
970-223-8873 _ H-837 .
970-223-8873 MP-445 -
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: httD://www.fcgov.com/CitizenAccess/mobile
Ilinspections: FNP FNE FNM
TOTAL FEES PAID AS OF 09/10/15: $67.74 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:
Forth Revised Oct 2010
city o1 Community Development &Neighborhood Services
Fort Collins 282N.College Ave Fort Collins, COSo522
970.221.676o 990.224.6134 -.fax
Building Permit #: B1504678
C Issued Full: 06/23/2016
jPermit Type: Residential Water Heater
Site Address: 6237 SOUTHRIDGE GREENS BLVD
Job Valuation: $1,900.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 09/10/2015 $67.74
Receipt issued: 09/10/2015 Total Paid to Date: $67.74
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $36.57 $36.57
County Sales/Use Tax 100.217030 $6.17 $6.17
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES: $67.74 $67.74
Date Paid
Amount Due
09/10/2015
$0.00
09/10/2015
$0.00
09/10/2015
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.