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HomeMy WebLinkAbout1943 Massachusetts St - Permits/Water and or Sewer - 10/27/2015City of Community Development 3r Neighborhood Services F6rt Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1507640 Issued Full: 10/27/2015 Permit Type: Residential Plumbing Site Address: 1943 MASSACHUSETTS ST Job Valuation: $3,940.00 Category: Residential Owner: ROZGONYI DAVID/TIBOR G 17501 RIM ROCK DR GOLDEN, CO 80401 Phone: 970-224-9204 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend M 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 M Stock plan options: Contractor: NORTHERN COLORADO PLUMBING AND DRAIN License #: MP-579 Supervisor cert#: 737 S LEMAY AVE 134-142 FORT COLLINS, CO 80524 Phone: 970-221-0872 Subcontractor(s). Phone License Number Plumbing: NORTHERN C.OLORADO PLUMBING 970-221-0872.. MP-579- Work Description: Waterline replacement SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: RP GL UGP FNE FNM FNP TOTAL FEES PAID AS OF 10/27/15: $175.41 Payment method: Check 142186 •* 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: s � � ((Q � Print Name: t (' , Date: 1612-7 //S T� Form Revised Oct 2010 C'}y �� Community Development&1Veighborhood Seruices �' 28i N. Colle e Ave Fort Collitts, CO So522 Fort Collins 97o.22i.6�6o g�o.22q.6134 -fax Building Permit#: 61507640 Issued Full: 10127/2015 Permit Type: Residential Plumbing Site Address: 1943 MASSACHUSETTS ST Job Valuation: 3 940.00 Category: Residential Transactions Method Check Number pate Paid Amount Paid Comments Check CK#142186 10/27/2015 $175.41 PAID BY NORTHERN COLROADO PLUMBING &DRAIN. CK#142186 Receipt issued: 10/27/2015 Total Paid to Date: 5175.41 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000.422010 $86.75 $86.75 10/27/2015 $0.00 Subs City Sales/Use Tax 251.122030 $75.85 S75.85 10/27/2015 $0.00 County Sales/Use Tax 100.217030 $12.81 512.81 10/27/2015 $0.00 TOTAL FEES: $175.41 $175.41 $0.00 , _ ._ , � TOTAC BACANCE DUE AS OF;10/27/2015: 0.00 � - - • I .. - , - . , • • � ; � r-- ' , � - -- ' , ; � , � � , , , . , � .. . ' . ,. � , Fee Amounts are valid for date of this document only.Fees subject to change without notice.