HomeMy WebLinkAbout528 Deines Ct - Permits/Water Heater - 01/03/2019F" E `7 "a 28i N. Colle a Ave Fort Collins, CO 80522
ort Collins 970.221.676o 970.224.6134 -fax
Building Permit #: B1810547
Issued Full: 01/03/2019
Permit Type: Residential Water Heater
Site Address: 528 DEINES CT
Job Valuation: $1,400.00 Category: Residential
Owner: PETERSON THEODORE A
528 DEINES CT
FORT COLLINS, CO 80525-1010 Phone: 218-791-4434
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD 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 M Stock plan options:
Contractor: ACE HI PLUMBING License #: MP-330 Supervisor cert#:
4916 W EISENHOWER BLVD
LOVELAND, CO 80537 Phone: 970-667-0300
Subcontractor(§) - ,,---,Phone j I License Number
Plumbing: j i ACE HI PLUMBING f ',- 970=667-0300 S i 7 MP-330
Lj
Work Description: Replace 40 gallon natural gas atmospheric -water heater... --
SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess
"Phone: 970-221-6769 **Mobile Website: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 01/03/19: $55.80 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
F6rt Collins
Site Address: 528 DEINES CT
Job Valuation: $1,400.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1810547
Issued Full: 01/03/2019
Permit Type: Residential Water Heater
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 01/03/2019
$55.80
Receipt issued: 01/03/2019 Total Paid to Date:
$55.80
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
City Sales/Use Tax 251.122030
$26.95
$26.95
01/03/2019
$0.00
County Sales/Use Tax 100.217030
$3.85
$3.85
01/03/2019
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
01/03/2019
$0.00
TOTAL FEES:
$56.80
$56.80
$0.00
TOTAL BALANCE DUE AS OF 01/03/2019:
0.00
1
l"
Fee Amounts are valid for date of this document only. Fees subject to change without notice.