HomeMy WebLinkAbout1738 Centennial Rd - Permits/Water Heater - 10/02/2018City of Community Development & Neighborhood Services
Fort Collins 28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1808511
Issued Full: 10/02/2018
Site Address: 1738 CENTENNIAL RD
Job Valuation: $528.87 Category: Residential
Owner: FOX MARILYN
1738 CENTENNIAL RD
FORT COLLINS. CO 80525
Zoning: Front setback: Rear setback:
Permit Type
Phone:541-399-2962
Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal* Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: HAHN PLUMBING & HEATING
130 CHESTNUTST
FORT COLLINS, CO 80524
Subcontractors) r
Plumbing: HAHN PLUMBING &,HEATING
Work Description: Replace 50,gallon natural gas water hee
Residential Water Heater
Left setback:
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-15 Supervisor cart #:
Phone: 970-484-7668
Phone 1 License Number
970--484-7668 [ MP-15_,
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 10/02/18: $36.63 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 intoned 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
�t of
Site Address: 1738 CENTENNIAL RD
Job Valuation: $528.87 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1808511
Issued Full: 10/02/2018
Permit Type: Residential Water Heater
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/02/2018
$36.63
Receipt issued: 10/02/2018 Total Paid to Date:
$36.63
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$10.18
$10.18
10/02/2018
$0.00
County Sales/Use Tax 100.217030
$1.45
$1.45
10/02/2018
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
10/02/2018
$0.00
TOTAL FEES:
$36.63
$0.00
$36.63
TOTAL BALANCE DUE AS OF 10/0212018: 0.00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.