HomeMy WebLinkAbout3615 Big Dipper Dr - Permits/Water Heater - 12/19/2016�fCollins
Site Address: 3615 BIG DIPPER DR
Job Valuation: $3,183.00 Category: Residential
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607550
Issued Full: 12/19/2016
Permit Type: Residential Water Heater
Owner: MCMILLEN JAMES R/BLANCHE J FAMILY TRUST
3615 BIG DIPPER DR
FORT COLLINS. CO 80528 Phone: 970-685-4591
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BEN FRANKLIN PLUMBING OF NORTHERN
COLORADO
485 DENVER AVE
LOVELAND. CO\80537 .
Subcontractorls � one PhLicense Number
Plumbing: BEN FRANKLIN PLUMBING OF N 970-.68-5.45 MP-598
O O
Work Description: Install wateFh ae ter
Filing #: Lot #: 112 Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: MP-598 Supervisor cert #:
Phone: 970-.68-5.4503
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/19116: $96.61 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 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 2010
(Collins
Site Address: 3615 BIG DIPPER DR
Job Valuation: $3,183.00 Category: Residential
Transactions
Method Check Number pate Paid Amount Paid
Trust Account 12/19/2016 $96.61
Receipt issued: 12/19/2016 Total Paid to Date: $96.61
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $61.27
County Sales/Use Tax 100.217030 $10.34
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1607550
Issued Full: 12/19/2016
Permit Type: Residential Water Heater
�uu•r _
Amount Paid Date Paid Amount Due
$61.27 12/19/2016 $0.00
$10.34 12/19/2016 $0.00
$25.00 12/19/2016 $0.00
TOTAL FEES: $96.61 $96.61
$0.00
TOTAL BALANCE DUE AS OF 12/19/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010