HomeMy WebLinkAbout3221 W Prospect Rd - Permits/Water Heater - 05/10/2019City of
F Collins
Site Address: 3221 W PROSPECT RD
Job Valuation: $1,385.00 Category: Residential
Owner: TERPSTRA JOHN/BEVERLY
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.22i.676o 970.224.6134-fox
Building Permit #: B1903100
Issued Full: 06/10/2019
Permit Type: Residential Water Heater
3221 W PROSPECT RD
FORT COLLINS, CO 80526
Phone: 970-412-9700
Zoning: Frontsetback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot#: Block#:
Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: PRYOR PLUMBING &' HEATING
License M MP-387
Supervisor cert#:
2907 SKIMMERHORN ST-,
_ FORT COLLINS, CO 80526
Phone: 970-204-6969
Subcontractorl )---D
—Phone j
C , License Number
Plumbing: PRYOR PLUMBINGA HEATING
f 970-204-6969----
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Work Description: Replace water heater..
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcoov.com/CitizenAccess/mobile
IlPossible Inspections Required: 300 301 302 11
TOTAL FEES PAID AS OF 05/10/19: $67.20 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 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
arof
t Collins
Site Address: 3221 W PROSPECT RD
Job Valuation: $1,385.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 05/10/2019
Receipt issued: 05/10/2019 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$57.20
$57.20
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
920.221.626o 970.224.6134 -.fax
Building Permit #: B1903100
Issued Full: 05/10/2019
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$26.66
$26.66
$5.54
$5.54
$25.00
$25.00
$57.20 $57.20
Date Paid
Amount Due
05/10/2019
$0.00
05/10/2019
$0.00
05/10/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 05110/2019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.