HomeMy WebLinkAbout419 W Mountain Ave - Permits/Water Heater - 04/25/2019�.F�ort Collins
Site Address: 419 W MOUNTAIN AVE, 3
Job Valuation: $1,410.00 Category: Residential
Owner: FROSETH BRUCE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1902733
Issued Full: 04/25/2019
Permit Type: Residential Water Heater
524 SPRING CANYON CT
FORT COLLINS, CO 80525 Phone: 970-223-5761
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PRYOR PLUMBING & HEATING
2907 SKIMMERHORN ST
FORT COLLINS, CO 80526
Subcontractor(s) — - -1
Plumbing: PRYOR PLUMBING & HEATINd
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-387
Phone: 970-204-6969
Basement sq ft:
Supervisor cert#:
Phone -f
i t 970-264-6969----, 1(
License Number
I —.MP-387---
I •-
1
Work Description: Replace water heater -40 gallon
SCHEDULE INSPECTIONS: ** via Text Message: 888406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 04/25/19: $57.78 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 descibed 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
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1902733
Issued Full: 04/26/2019
Permit Type: Residential Water Heater
Comments
Amount Paid Date Paid Amount Due
$27.14 04/25/2019 $0.00
$5.64 04/25/2019 $0.00
$25.00 04/25/2019 $0.00
$57.78 $57.78
TOTAL BALANCE DUE AS OF 04/26/2019:
F I ri
�Fort Collins
Site Address: 419 W MOUNTAIN AVE, 3
Job Valuation: $1,410.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 04/25/2019 $57.78
Receipt issued: 04/25/2019 Total Paid to Date: $57.78
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $27.14
County Sales/Use Tax 100.217030 $5.64
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
E
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.