HomeMy WebLinkAbout1909 Churchill Ct - Permits/Water Heater - 09/16/2019�of
t Collins
Site Address: 1909 CHURCHILL CT
Job Valuation: $1,425.00 Category: Residential
Owner: COLEMAN WILLIAM/KATHY
1900 LAKESIDE DR
MCCALLA, AL 35111-3730
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1910984
Issued Full: 09/16/2019
Permit Type: Residential Water Heater
Phone: 970-493-4052
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: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractor(s)--
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Mechanical: I NORTHERN COLORADO AIR INC
I , 1
Filing #: Lot #: Block*
Ind sq ft: Basement sq ft:
_ Const Type:
Stock plan options:
License #: H-837 Supervisor cert#:
Phone: 970-223-8873
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Phone I I License Number
970=223-8873— = ; , — H-837 -----
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ork Description: Replace water heater.
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 09/16/19: $58.13 Payment method: Trust Account
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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
C'�1."�� Community Development&Neighborhood Services
. Fort Collins 281N. Co1legeAve FortCollins, COSo522
970.221.6�6o g�o.22q.6i3g -fax
Building Permit#: B1910984
- � Issued Full: 09/16/2019
Permit Type: Residential Water Heater
Site Address: 1909 CHURCHILL CT
Job Valuation: 1 425.00 Category: Residential
Transactions
i
Method Check Number Date Paid Amount Paid Comments
Trust Account 09/16/2019 $58.13
Receipt issued: 09/16/2019 Total Paid to Date: $58.13
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $27.43 $27.43 09/16/2019 $0.00
County Sales/Use Tax 100.217030 $5.70 $5.70 09/16/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 09/16/2019 $0.00
TOTAL FEES: $58.13 $58.13 $0.00
_ TOTAL BALANCE DUE AS OF 09/16/2019: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.