HomeMy WebLinkAbout5233 Fox Hills Dr - Permits/Water Heater - 01/27/2017Frt Collins
Site Address: 5233 FOX HILLS DR
Job Valuation: $1,075.00 Category: Residential
Owner: MILLIKEN MICHAEL J/JEANNE M
5233 FOX HILLS DR
FORT COLLINS, CO 80526-4351
Zoning: Front setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700410
Issued Full: 01/27/2017
Permit Type: Residential Water Heater
Phone: 970-222-2293
Right setback: Left setback:
Minor Amend M Plat File M ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Rear setback:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: INDEPENDENT PLMBG SOL License #. MP-610 Supervisor cart #:
1611 E Lincoln Ave Unit A� FL �
FORT COLLINS, CO 80524' ( �� i Phone: 970-566-1377
Subcontractorts)--= u >�( �`J Phone
Plumbing: INDEPENDENT PLMBG OL 970 566-1377
_ OIrO
WoCription: Replace 40.gallon.gas water heat er.
License Number
MP-610
RS
SCHEDULE INSPECTIONS: "' By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Ins ections: FNP FNE FNM
TOTAL FEES PAID AS OF 01/27/17: $49.18 Payment method: Check 1225
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 Slate 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: Z)W 1 J//r4s� d ./L_ Date: / —27-11 _7
—mob- -
Form Revised Oct 2010
6rt'Collins
Site Address: 5233 FOX HILLS DR
Job Valuation: $1,075.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700410
Issued Full: 01/27/2017
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK# 1225 01/27/2017 $49.18 INDEPENDENT PLUMBING SOLUTIONS, INC. paid with
check #1225
Receipt issued: 01/27/2017 Total Paid to Date:
$49.18
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$20.69
$20.69
01/27/2017
$0.00
County Sales/Use Tax 100.217030
$3.49
$3.49
01/27/2017
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
01/27/2017
$0.00
TOTAL FEES:
�J
For
$49.18
$0.00
DUE AS -OF 01/27/2017: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.