HomeMy WebLinkAbout4560 Larkbunting Dr - Permits/Water Heater - 05/03/2016City ot
F6rt Collins
Site Address: 4560 LARKBUNTING DR. 9 D
Job Valuation: $1,375.00 Category: Residential
Owner: SILBERBERG MARY ANN
4560 LARKBUNTING DR UNIT D9
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602320
Issued Full: 05/03/2016
Permit Type: Residential Water Heater
Phone: 970-222-8033
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot M 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: INDEPENDENT PLMBG SOL _ License #: MP-610 Supervisor cert#:
1611 E Lincoln Ave Unit A
FORT COLLINS, CO 80524. Phone: 970-566-1377
Work Description: Remove old water.heater and replace with .new water heater in order to accommodate radon.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile 11
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 05/03/16: $55.94 Payment method: Check 3810
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.
Signat �e. anv Print Nam : Date: _-3 .
�t F evised Oct 2010
City ot
F6rt Collins
Site Address: 4560 LARKBUNTING DR. 9 D
Job Valuation: 1 375.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK# 3810 05/03/2016
Receipt issued: 05/03/2016 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$55.94
$55.94
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602320
Issued Full: 05/03/2016
Permit Type: Residential Water Heater
Comments
Check#3810 by Kirsten E Danekind
Fee Amount
Amount Paid
$26.47
$26.47
$4.47
$4.47
$25.00
$25.00
$66.94 $65.94
Date Paid
Amount Due
05/03/2016
$0.00
05/03/2016
$0.00
05/03/2016
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00