HomeMy WebLinkAbout2636 W Lake St - Permits/Water Heater - 06/18/2018Clty. of
Fort Collins
Site Address 2636 W LAKE ST
Job Valuation $1,680 00 Category Residential
Owner DAVISON LELAND CHRISTOPHER
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit # B1804645
Issued Full 06/18/2018
Permit Type Residential Water Heater
2636 W LAKE ST
FORT COLLINS, CO 80521 Phone 970-231-9315
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PLID
Code Res sq ft Corn sq ft
# of stories Occ Group
Fire Sprklr Stock plan #
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
Contractor FORT COLLINS HEATING & AIR
208 COMMERCE DR#4l - 1r- �
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FORT COLLINS CO� 8�5241 �
Subcontractors) =--i
MechanicalL! FORT COLLINS HEATING_&AIRL
Work Description Install 50 gallon electric water heater
License # H-1309 Supervisor cert #
Phone 970-484-4552
License Number
H-1309 ..--__' ,
L
I SCHEDULE INSPECTIONS *** By Phone 970-221-6769 *** By Web http //www fcgov com/CitizenAccess I
***By Mobile Device http //www fcgov com/CitizenAccess/mobile
Possible Inspections Required 300 301 302
TOTAL FEES PAID AS OF 06/18/18 $61.96 Payment method Trust Account
*' Fee Detad 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 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
City of
F6rt Collins
Site Address 2636 W LAKE ST
Job Valuation $1,680 00 Category Residential
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit # B1804645
Issued Full 06/18/2018
Permit Type Residential Water Heater
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/18/2018 $61 96
Receipt issued 06/18/2018 Total Paid to Date $61 96
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251 122030 $32 34 $32 34 06/18/2018 $0 00
County Sales/Use Tax 100 217030 $4 62 $4 62 06/18/2018 $0 00
Permit Flat Fee w/o Subs $25 1000 422010 $25 00 $25 00 06/18/2018 $0 00
TOTAL FEES $61 96 $61 96 $0 00
ri
TOTAL BALANCE DUE AS OF 06/18/2018 0 00
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Fee Amounts are valid for date of this document only Fees subject to change without notice