HomeMy WebLinkAbout5620 Fossil Creek Pkwy - Permits/Water Heater - 09/12/2019City. of
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ite Address: 5620 FOSSIL CREEK PKWY, 2 203
)b Valuation:I $1,380.00 Category: Residential
Owner: SCIACCA JOSEPH M
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1910640
Issued Full: 09/12/2019
Permit Type: Residential Water Heater
3651 LITTLE DIPPER DR
FORT COLLINS, CO 80528-4448
Phone: 970-402-9740
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: 2203 Block #:
Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: PLUMBER FROM DOWN UNDER
License #: MP-542
Supervisor cert#:
5403 CINQUEFOIL LN
FORT COLLINS, CO 80528
Phone: 970-378-0022
Subcontractor(s)_ _ _.'
"_ Phone
i License Number
Plumbing: I PLUMBER FROM DOWN_UNDERI_,
970-378-0022_
__MP-542_
•,l I I
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_ r._
Work Description: Replace water heater.
SCHEDULE 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 09/12/19: $57,08 Payment method: Credit Card 8256
" 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 ifthe 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: t Date:
Form Revised Oct 2010
arof
t Collins
Site Address: 5620 FOSSIL CREEK PKWY, 2 203
Job Valuation: $1,380.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 8256 09/12/2019 $57.08
Receipt issued: 09/12/2019 Total Paid to Date: $57.08
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
F_�
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:B1910640
Issued Full: 09/12/2019
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$26.56
$26.56
$5.52
$5.52
$25.00
$25.00
$67.08 $67.08
Date Paid
Amount Due
09/12/2019
$0.00
09/12/2019
$0.00
09/12/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/1212019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.