HomeMy WebLinkAbout709 Keenesburg Ct - Permits/Water Heater - 01/09/2017Fo�r'.t Collins
Site Address: 709 KEENESBURG CT
Job Valuation: $1,000.00 Category: Residential
Owner: DIAZ HECTOR/XIOMA
709 KEENESBURG CT
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700075
Issued Full: 01/09/2017
Permit Type: Residential Water Heater
Phone:970-412-9314
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:
# of stories:
Fire Sprklr:
Contractor:
Subcontractor(s) _ _
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: 303 Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: Supervisor cert #:
Phone:
Phone License Number
Work Description: Installation of replacement water heater. - Homeowner , affidavit on file.
II SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess II'
***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
FNP FNE FNM
TOTAL FEES PAID AS OF 01/09/17: $47.50 Payment method: Credit Card 0041
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare that I am the owner or owners agent, authorized to perform the proposed work on the property desaibed herein.
I agree to comply with all the requirements contained herein, and City ordinances, and Stale laws assodated 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: 4 All e sivo l� Date: 14 // 7
Form Revised Oct 2010
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Site Address: 709 KEENESBURG CT
Job Valuation: $1,000.00 Category: Residential
Transactions
Method Check Number Date Paid
Credit Card CK# 0041 01/09/2017
Receipt issued: 01/09/2017 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
Amount Paid
$47.50
$47.50
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1700075
Issued Full: 01/09/2017
Permit Type: Residential Water Heater
Comments
C ERIC SHENK paid with CC
Fee Amount
Amount Paid
$19.25
$19.25
$3.25
$3.25
$25.00
$25.00
Date Paid
Amount Due
01/09/2017
$0.00
01/09/2017
$0.00
01/09/2017
$0.00
TOTAL FEES: $47.60 $47.50 $0.00
TOTAL BALANCE DUE AS OF 01/09/2017: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.