HomeMy WebLinkAbout2110 Brookwood Dr - Permits/Water Heater - 10/29/2015Fort Collins
Site Address: 2110 BROOKWOOD DR
Job Valuation: $1,500.00 Category: Residential
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507719
Issued Full: 10/29/2016
Permit Type: Residential Water Heater
Owner: RIDGEWAY JEREMY MICHAELIJENNIFER GANDEL
2110 BROOKWOOD DR
FORT COLLINS, CO 80525
Phone:
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File M
ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: Block M
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: INDEPENDENT PLMBG SOL
License #: MP-610
Supervisor cert#:
1611 E Lincoln Ave Unit A
FORT COLLINS. CO 80524
Phone: 970-566-1377
Subcontractor(s)
-Phone
License Number
Plumbing: INDEPENDENT PLMBG SOL
970-566-1377
MP-610
Work Description: replace water heater
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcoov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FINE FNM
TOTAL FEES PAID AS OF 10/29/15: $58.75 Payment method: Check 1178
`* 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 assodated 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: PMV_� 6/Lft�S10:4—Date:
QA�
Form Revised Oct 2010
/0*400*.F,�o�rfCollins
Site Address: 2110 BROOKWOOD DR
Job Valuation: $1,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK# 1178 10/29/2015 $58.75
Receipt issued: 10/29/2015 Total Paid to Date: $58.75
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $28.88
County Sales/Use Tax 100.217030 $4.87
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1507719
Issued Full: 10/2912016
Permit Type: Residential Water Heater
Comments
IPS ck# 1178
Amount Paid Date Paid Amount Due
$28.88 10/29/2015 $0.00
$4.87 10/29/2015 $0.00
$25.00 10/29/2015 $0.00
$68.75 $58.76
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form