HomeMy WebLinkAbout5620 Fossil Creek Pkwy - Permits/Water Heater - 12/10/2019/10�Fo��r't Collins
Site Address: 5620 FOSSIL CREEK PKWY, 4 201
Job Valuation: $1,251.00 Category: Residential
Owner: SHABA LLC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1916630
Issued Full: 12/10/2019
Permit Type: Residential Water Heater
806 LAPORTE AVE
FORT COLLINS, CO 80521-2521 Phone: 970-482-9293
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#:201 Block#:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: INDEPENDENT PLMBG SOL
1611 E Lincoln Ave Unit
FORT COLLINS, CO 80524
Subcontract6r(s) _
Plumbing: I INDEPENDENT PLMBG.SOL'
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License#: MP-610 Supervisorcert#:
Phone: 970-566-1377
Phone ! License Number
970-566-1377- _ j 1_
MP-610 -
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Work Description: Replace water heater. f
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 1
TOTAL FEES PAID AS OF 12/10119: $54.08 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
FCollins
Site Address: 6620 FOSSIL CREEK PKWY, 4 201
Job Valuation: $1,251.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 12/10/2019 $54.08
Receipt issued: 12/10/2019 Total Paid to Date: $54.08
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1916630
Issued Full: 12/10/2019
Permit Type: Residential Water Heater
Comments
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $24.08 $24.08
County Sales/Use Tax 100.217030 $5.00 $5.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
! ( r
$64.08 $54.08
Date Paid
Amount Due
12/10/2019
$0.00
12/10/2019
$0.00
12/10/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12/10/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.