HomeMy WebLinkAbout2708 Annelise Way - Permits/Water Heater - 08/30/2019F6rt Collins
Site Address: 2708 ANNELISE WAY
Job Valuation: $4,154.01 Category: Residential
Owner: CIPRIANO ROBERTA
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1909295
Issued Full: 08/30/2019
Permit Type: Residential Water Heater
2708 ANNELISE WAY
FORT COLLINS, CO 80525 Phone: 970-453-0528
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: 422 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: FORT COLLINS HEATING & AIR License #: H-1309 Supervisor cert#:
208 COMMERCE DR#4
FORT COLLINS, CO 80524 Phone: 970484-4552
SubcontractoEsl::-Phone License Number
Mechanical: FORT COLLINS HEATING &{AIR, ' /' 970-484-4552_ I I � i_� _ _ H-13.09--__
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Work Description: Replace water heater.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 �I
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Reauired: 300 301 302
TOTAL FEES PAID AS OF 08130/19: $121.58 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 perrnit 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.
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Sig tur Print Name: L&�1 Date:
qlr,511`77
Form Revised Oct 2010
F�o�r.'fCollins
Site Address: 2708 ANNELISE WAY
Job Valuation: $4,154.01 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 08/30/2019 $121.58
Receipt issued: 08/30/2019 Total Paid to Date: $121.58
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $79.96
County Sales/Use Tax 100.217030 $16.62
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1909295
Issued Full: 08/30/2019
Permit Type: Residential Water Heater
�uu•�
Amount Paid
Date Paid
$79.96
08/30/2019
$16.62
-08/30/2019
$25.00
08/30/2019
$121.68 $121.58
- ,
TOTAL BALANCE DUE AS OF 08/30/2019:
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.