HomeMy WebLinkAbout2725 Antelope Rd - Permits/Water Heater - 01/25/2016�4 m
City �f Community Development & Neighborhood Services
281 N. College Ave Fort Collins CO 80 22
ort Collins g 5
970.221.676o 970.224.6134 -fax
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Building Permit #: B1600017
Issued Full: 01/26/2016
j Permit Type: Residential Water Heater
s Site Address: 2725 ANTELOPE RD
Job Valuation: $2,785.00 Category: Residential
Owner: BALSIDE TIM W/TERRI L
2725 ANTELOPE RD
FORT COLLINS, CO 80525
Phone: 970-310-4924
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: FORT COLLINS HEATING & AIR
208 COMMERCE DR#4
FORT COLLINS, CO 80524
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Subcontractor(s)
. Mechanical: FORT COLLINS HEATING & AIR
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Work Description: Install power vent water heater.
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1309
Phone: 970-484-4552
Phone
970-484-4552 -
Supervisor cert #:
License Number
H-1309
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 01/25/16: $87.66 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 owner's 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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('''t" O• f Community Development & Neighborhood Services
�+ r 281 N. Col
lege Ave Fort Collins, CO 80522
j 6rt Collins 970.221.6760 970.224.6134-f
Building Permit #: 131600017
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Issued Full: 01/26/2016
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Permit Type: Residential Water Heater
Site Address: 2725 ANTELOPE RD
Job Valuation: $2,785.00 Category: Residential
Transactions
I Method Check Number Date Paid
Amount Paid
Comments
Trust Account 01/25/2016
$87.66
Receipt issued: 01/25/2016 Total Paid to Date:
$87.66
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$53.61
$53.61 01/25/2016
$0.00
j County Sales/Use Tax 100.217030
$9.05
$9.05 01/25/2016
$0.00
{ Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 01/25/2016
$0.00
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i
i TOTAL FEES:
$87.66
$87.66
$0.00
TOTAL BALANCE DUE AS OF 01/25/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.