HomeMy WebLinkAbout517 Princeton Rd - Permits/Water Heater - 10/10/2016��ty -Collins
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CommunityDevelo ment &Nei Neighborhood Services
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�O� I 281N. College Ave Fort Collins, 61 4 -f x
;.. � 970.221.676o 970.224.6134 -fax
Building Permit #: B1606071
Issued Full: 10/10/2016
Permit Type: Residential Water Heater
Site Address: 517 PRINCETON RD
Job Valuation: 1 500.00 Category: Residential
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f Owner: GORDON MARGARET ANN
517 PRINCETON RD
j FORT COLLINS, CO 80525-1855 Phone: 970-232-6439
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:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Corn sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: LONGS PEAK ENERGY CONSERVATION
PO BOX 471
BOULDER, CO 80306
Subcontractor(s)
Mechanical: LONGS PEAK ENERGY CONSERVA
Work Description: Replace 40 gallon, 36,000 BTU water heater.
License #: H-1422
Phone: 720-864-6403
Phone
720-864-6403
Supervisor cert#:
License Number
H-1422
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 10/10/16: $25.00 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: 1 r Print Name: 14:S 10J\ Date:
Form Revised Oct 2010
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F6rt Collins
Site Address: 517 PRINCETON RD
Job Valuation: $1,500.00 Category: Residential
cnity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1606071
Issued Full: 10/10/2016
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 10/10/2016 $25.00 DOUGLAS DOLAN paid with CC
Receipt issued: 10/10/2016 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 10/10/2016
TOTAL FEES:
$26.00 $26.00
TOTAL BALANCE DUE AS OF 10/10/2016:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010