HomeMy WebLinkAbout2207 Ballard Ln - Permits/Water Heater - 02/09/2016City of
F6rt Collins
/11000"
1 Site Address: 2207 BALLARD LN
1j Job Valuation: $250.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1600623
Issued Full: 02/09/2016
Permit Type: Residential Water Heater
Owner: LANATA SHANNON N/DANIEL L
2207 BALLARD LN
FORT COLLINS, CO 80524 Phone: 985-974-6068
Zoning: Front setback: Rear setback: Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 2
Left setback:
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: License #- Supervisor cert#:
Subcontractor(s) -
Work Description: ***After The Fact*** Install water heater. Homeowner affidavit on file.
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 02/09/16: $55.62 Payment method: Credit Card
** 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: /� ��4IAI , te:
Form Revised Oct 2010
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c�ty of Community Development&Neighborhood Seruices
� 28i N.College Aue Fort Collins,CO So522
�� Fort Coll�ns 97o.22z.6�6o 970.224.6134 -fax
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Building Permit#: B1600623
� Issued Full: 02/09/2016
� �, Permit Type: Residential Water Heater
! Site Address: 2207 BALLARD LN
4
; Job Valuation: 250.00 Category: Residential
=�� Transactions
'� Method Check Number Date Paid Amount Paid Comments
�� Credit Card 02/09/2016 $55.62 LANATA SHANNON N/DANIEL L CC
'� Receipt issued: 02/09/2016 Total Paid to Date: $55.62
� Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
� City Sales/Use Tax 251.122030 $4.81 $4.81 02/09/2016 $0.00
� County Sales/Use Tax 100.217030 $0.81 $0.81 02/09/2016 $0.00
` Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 02/09/2016 $0.00
�. Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 02/09/2016 $0.00
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i TOTAL FEES: $55.62 $55.62 $0.00
!
- , TOTAL BALANCE DUE AS OF 02/09/2016: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice. �
Form Revised Oct 2010