HomeMy WebLinkAbout6821 Autumn Ridge Dr - Permits/Water Heater - 10/12/2016,
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1606120
Issued Full: 10/12/2016
Permit Type: Residential Water Heater
Site Address: 6821 AUTUMN RIDGE DR, 3
Job Valuation: $1,253.28 Category: Residential
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l i Owner: CASS JESSICA L
6821 AUTUMN RIDGE DR UNIT 3
FORT COLLINS, CO 80525 Phone: 303-668-9088
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: COLORADO DELTA MECHANICAL
6056 E. Baseline Rd. Ste #155
yf Mesa, AZ 85206
Y' Subcontractor(s)
Plumbing: COLORADO DELTA MECHANICAL
s:
Filing #: Lot #: 116 Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-644 Supervisor cert#:
Work Description: Replace 40 gallon gas water heater 36K BTU'S.
Phone: 480-222-0775
Phone
480-222-0775..
License Number
MP-644 ..
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web:. http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 10/12/16: $63.20 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.
Mkt !f 11 1-^t •i ♦^vfat li "
Signature: Print Name: Date:
Forrn.Revised Oct 2010
Community Development & Neighborhood Services
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Cdiins
28s N. e Fort Collins, CO 80522
0 2 .61 a
970.221.676o 97 2 4 34 - x
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Building Permit #: B1606120
Issued Full: 10/12/2016
Permit Type: Residential Water Heater
`' Site Address: 6821 AUTUMN RIDGE DR, 3
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Job Valuation: $1,253.28 Category: Residential
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Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/12/2016
$53.20
I' Receipt issued: 10/12/2016 Total Paid to Date:
$53.20
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
I.; City Sales/Use Tax 251.122030
$24.13
$24.13 10/12/2016 $0.00
County Sales/Use Tax 100.217030
$4.07
$4.07 10/12/2016 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 10/12/2016 $0.00
TOTAL FEES:
$53.20 $0.00
$53.20
TOTAL BALANCE DUE AS OF 10/12/2016: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form