HomeMy WebLinkAbout5433 Northern Lights Dr - Permits/Water Heater - 03/05/2020�,.F�rt Collins
Site Address: 5433 NORTHERN LIGHTS DR
Job Valuation: $2,030.00 Category: Residential
Owner: GEORGE JASONMENNIFER
5433 NORTHERN LIGHTS DR
FORT COLLINS, CO 80528-4439
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522 .
970.221.676o 970.224.6134 -fax
Building Permit #: B2001919
Issued Full: 03/05/2020
Permit Type: Residential Water Heater
Phone:352-275-2211
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ACTION PLUMBING & HEATING
201 SW 12th St.
LOVELAND, CO 80537
Subcontractor(s) __ - _7
Plumbing: ; ACTION~PLUMBING,&HEATING,
r A
EI p
Filing #: Lot #: 308 Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-324 Supervisor cart #:
Phone: 970-669-6093
r''_._Phone jry� j _ License Number
t 970-669-6093- i� , -i, MP-324,`
Work Description: Water heater replacement
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAcc6ss ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile N
IlPossible Inspections Reouired: 300 301 302 H
TOTAL FEES PAID AS OF 03/05/20: $72.20 Payment method: Trust Accou
*" 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 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
of
Fort Collins
Site Address: 5433 NORTHERN LIGHTS DR
Job Valuation: $2,030.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 03/04/2020
Receipt issued: 03/05/2020 Total Paid to Date
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:
/
LJ
Amount Paid
$72.20
$72.20
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2001919
Issued Full: 03/06/2020
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$39.08
$39.08
$8.12
$8.12
$25.00
$25.00
$72.20 $72.20
Date Paid
Amount Due
03/04/2020
$0.00
03/04/2020
$0.00
03/04/2020
$0.00
$0.00
`TOTAL BALANCE DUE AS OF 03/05/2020: 0.00
A _
F1
Fee Amounts are valid for date of this document only. Fees subject to change without notice.