HomeMy WebLinkAbout1719 Centennial Rd - Permits/Water Heater - 03/06/2017City of
F6rt
„Collins
Site Address: 1719 CENTENNIAL RD
Job Valuation: $5,166.00 Category: Residential
Owner: CAIN DANIEL F/KATHLEEN
1719 CENTENNIAL RD
FORT COLLINS, CO 80525-2416
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1701067
Issued Full: 03/06/2017
Permit Type: Residential Water Heater
Phone: 970-217-0662
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:.
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: ALLEN PLUMBING 8 HEATING
101 S. LINK LANE'
FORT COLLINS, CO 80524
Subcontractor(s)----]
Electrical: I LAMB
Plumbing: ; ALLEt
Wok Description: Remove e
CTRIC, LLC
JMBING 8 HEATING
g ( 2) 40 gallon water
License #: MP4 Supervisor cent #:
Phone: 970-484-4841
water heater.
License Number
'ME-1340_..
` MPA
1
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 FINE FNM
TOTAL FEES PAID AS OF 03/06/17: $141.24 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 pemmt 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
/000,F,�o�rfCollins
Site Address: 1719 CENTENNIAL RD
Job Valuation: $5,166.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701067
Issued Full: 03/06/2017
Permit Type: Residential Water Heater
Trust Account 03/03/2017
$141.24
Receipt issued: 03/06/2017 Total Paid to Date:
$141.24
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$99.45
$99.45
03/03/2017
$0.00
County Sales/Use Tax 100.217030
$16.79
$16.79
03/03/2017
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
03/03/2017
$0.00
TOTAL FEES:
$141.24
$141.24
$0.00
' TOTAL BALANCE DUE AS OF 03/06/2017: 0.00
Ll
Fee Amounts are valid for date of this document only. Fees subject to change without notice.