HomeMy WebLinkAbout1120 City Park Ave - Permits/Water Heater - 01/11/2017Ft Collins
Site Address: 1120 CITY PARK AVE, D 105
Job Valuation: $1,245.00 Category: Residential
Owner: MAITLAND DAVID S/JUDITH F
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700110
Issued Full: 01/11/2017
Permit Type: Residential Water Heater
7100 SILVER MIST LN
FORT COLLINS, CO 80528 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ACTION PLUMBING 8 HEATING
201 12th St. SW :
LOVELAND, CO 80537
Subcontractorts)
Plumbing: ACTION PLUMBWG_8 H� ING�
Work Description: Water Heater replacement. /
ON
Lot #: 105 Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-324 Supervisor cart #:
Phone: 970-669-6093
License Number
❑ MP-324-
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II SCHEDULE INSPECTIONS: •** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess II
"""By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 01/11/17: $53.02 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 incorect infomwtion. 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:
Forth Revised Oct 2010
CIt" O Community Deuelopment&Neighborhood Seruices
Fort Col l i n s 281 N. Co(lege Aue Fort Collins, CO 80522
970.221.6760 97o.22q.6i34 -f�
Building Pertnit#: 61700710
Issued Full: 01/11/2017
Permit Type: Residential Water Heater
Site Address: 1120 CITY PARK AVE. D 105
Job Valuation: 1 245.00 Category: Residential
Transactions
, �Jgj�Qd Check Number Date Paid Amount Paid Comments
` TrustAccount 01/11/2017 $53.02
Receipt issued: 01/11/2017 Total Paid to Date: 553.02
; Fee Descriation Account Code Fee Amount Amount Paid Date Paid Amount Due
' City Sales/Use Tax 251.122030 $23.97 $23.97 01/11/2017 $0.00
County Sales/Use Tax 100.217030 $4.05 $4.05 01/11/2017 $0.00
` Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/11/2017 $0.00
TOTAL FEES: $53.02 $53.02 $0.00
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�� �� TOTAL BALANCE DUE AS OF 01/11/2017: 0.00
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Fee Amounta are valid for date of this document only.Fees subJect to change without notice.