HomeMy WebLinkAbout2868 Blue Leaf Dr - Permits/Water Heater - 06/10/2019arof
t Collins
Site Address: 2868 BLUE LEAF DR
Job Valuation: $1,900.00 Category: Residential
Owner: WILLIAMSON SAMUEL C/KATHRYN L
2868 BLUE LEAF DR
FORT COLLINS, CO 80526
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1904037
Issued Full: 06/10/2019
Permit Type: Residential Water Heater
Phone:970-219-7660
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
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. o—p-tiio'ns:.---------
Contractor: PRYOR PLUMBING & HEATING L-� `icense #: p g7 `Supervisor cert#:
-_-z:z2907 SKIMMERHORN ST
FORT=GL-L-INS,_CO 80526___. — /'Phone: 970-204-6969
Subcontractor(s)
Plumb---
Phone ' License Number
G �
� &-HEATING /� "�� 970-204=6969 ' ''� MP 21K � l '
r}
Work Description: Replace water heater (50 gallon gas)
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/r
Possible Inspections Reouired: 300 301 302
TOTAL FEES PAID AS OF 06/10/19: $69.17 Payment method: Trust Account
'* Fee Detail Displayed on Next Page
le
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:
�t Collins
Site Address: 2868 BLUE LEAF DR
Job Valuation: $1,900.00 Category: Residential
Transactions
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1904037
Issued Full: 06/10/2019
Permit Type: Residential Water Heater
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/10/2019 $69.17
Receipt issued: 06/10/2019 Total Paid to Date: $69.17
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $36.57 $36.57 06/10/2019 $0.00
County Sales/Use Tax 100.217030 $7.60 $7.60 06/10/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/10/2019 $0.00
TOTAL FEES: $69.17 $69.17�_ $0.00
``�---__,_.______-----�'TOTAL-BALANCE DUE AS OF 06/10/2019: $0.00
Ll
Fee Amounts are valid for date of this document only. Fees subject to change without notice.