HomeMy WebLinkAbout413 Derry Dr - Permits/Water Heater - 11/18/2016Cityof Community Development & Neighborhood Services
F6rt Collins 281 N. College Ave Fort Collins, CO 80522
' 970.221.676o 970.224.6i,34 -fax
Building Permit #: B1606962
Issued Full: 11/18/2016
Permit Type: Residential Water Heater
Site Address: 413 DERRY DR
Job Valuation: $3,854.00 Category: Residential
Owner: THOMSON THOMAS D/ANNE M
413 DERRY DR
FORT COLLINS, CO 80525 Phone: 970-204-0708
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 #:
I Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBING & HEATING
101 S. LINK LANE
FORT COLLINS; CO 80524
Subcontractor(s)
V Plumbing: ALLEN PLUMBING & HEATING
Work Description: Replace water heater.
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: MP4 Supervisor cert #:
Phone: 970-484-4841
Phone
970-484-4841
License Number
MP-4
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 11/18/16: $111.72 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 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
77
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61,3.E -fax
Building Permit #: B1606962
Issued Full: 11/18/2016
Permit Type: Residential Water Heater
Site Address: 413 DERRY DR
Job Valuation: $3,854.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 11/18/2016
$111.72
Receipt issued: 11/18/2016 Total Paid to Date:
$111.72
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$74.19
$74.19
11/18/2016
$0.00
County Sales/Use Tax 100.217030
$12.53
$12.53
11/18/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/18/2016
$0.00
I
TOTAL FEES:
$111.72
$111.72
$0.00
TOTAL BALANCE DUE AS OF 11/18/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.