HomeMy WebLinkAbout2517 Tulane Dr - Permits/Water Heater - 06/28/2018City m
F6rt Collins
Site Address 2517 TULANE DR
Job Valuation $1,21000 Category Residential
Owner VALUCKAS ADAM GEORGE/SARA KIRBY
2517 TULANE DR
FORT COLLINS 80525 1749
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
Building Permit # B1805070
Issued Full 06/28/2018
Permit Type
Phone 970 222 4826
Residential Water Heater
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PUD
Code Res sq ft Com sq ft
# of stones Occ Group
Fire Sprklr Stock plan #
Contractor POUDRE VALLEY AIR
2416 DONELLA CT #A I
FORT COLLINS CO 80524
1
Subcontractors) i
Mechanical POUDRE VALLEY
AIRL
Work Description Replace water heater
1.1, _ _ -- P ;
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
License # H 835 Supervisor cert #
Phone 970 493 2050
-'"
P
hone
2050
0
00
License Number
H 835
U
SCHEDULE INSPECTIONS *** By Phone 970 221 6769 *** By Web http //www fcgov com/CitizenAccess
***By Mobile Device htt //www fc ov com/CitizenAccess/mobile
Possible inspections Required 300 301 302
TOTAL FEES PAID AS OF 06/28/18 $51.62 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 owner's 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 1 understand that such permit may be
revoked in the event that issuance was based on incorrect information This permit shall become null and void d 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
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6134 fax
Building Permit # B1805070
Issued Full 06/28/2018
Permit Type Residential Water Heater
Amount Paid
Date Paid
Amount Due
$23 29
06/28/2018
$0 00
$3 33
06/28/2018
$0 00
$25 00
06/28/2018
$0 00
$51 62 $51 62 $0 00
r'
r TOTAL BALANCE DUE AS OF 06/28/2018 IQ 00
00 Tr (Coo I -I
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F6rt Collins
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Site Address 2517 TULANE DR
Job Valuation $1,21000 Category Residential
Transactions
Trust Account 06/28/2018 $51 62
Receipt issued 06/28/2018 Total Paid to Date $51 62
Fee Description Account Code Fee Amount
City Sales/Use Tax 251 122030 $23 29
County Sales/Use Tax 100 217030 $3 33
Permit Flat Fee w/o Subs $25 1000 422010 $25 00
TOTAL FEES
Fee Amounts are valid for date of this document only Fees subject to change without notice