HomeMy WebLinkAbout843 Sandy Cove Ln - Permits/Water Heater - 07/08/2016City ®f Community Development & Neighborhood Services
F6rt Collins 281 N. College Ave Fort Collins, CO a
970.221.6760 970.224.6134 -f-fax
Building Permit #: B1603855
Issued Full: 07/08/2016
Permit Type: Residential Water Heater
Site Address: 843 SANDY COVE LN
Job Valuation: $950.00 Category: Residential
Owner: FISCUS RANDY L/SANDY K
843 SANDY COVE LN
FORT COLLINS, CO 80525-3386 Phone:
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 #: 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 cent #:
1611 E Lincoln Ave Unit A
FORT COLLINS, CO 80524. Phone: 970-566-1377
Subcontractor(s1..-._... ___I . Phone
:
License Number
Plumbing: INDEPENDENT. PLMBG1SOL 970-566-1377- - MP-610
I
Work Description: Replace 50•galloh gas..water heater.
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 07/08/16: 46.38 Payment method: Check 1204
** 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: ��,,y d}'lyyyg5 Date:
�" Form Revised Oct 2010
City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fax
Building Permit #: B1603855
Issued Full: 07/08/2016
Permit Type: Residential Water Heater
Site Address: 843 SANDY COVE LN
Job Valuation: $950.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK # 1204 07/08/2016
$46.38
Receipt issued: 07/08/2016 Total Paid to Date:
$46.38
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$18.29
$18.29 07/08/2016
$0.00
County Sales/Use Tax 100.217030
$3.09
$3.09 07/08/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 07/08/2016
$0.00
TOTAL FEES:
$46.38
$46.38
$0.00
TOTAL BALANCE DUE AS OF 07/08/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.