HomeMy WebLinkAbout819 Fossil Creek Pkwy - Permits/Water Heater - 07/18/2019of
�For�t Collins
Site Address: 819 FOSSIL CREEK PKWY
Job Valuation: $1,606.75 Category: Residential
Owner: TRIPPE OCTAVIO L III/ALANA K
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1905347
Issued Full: 07/18/2019
Permit Type: Residential Water Heater
819 FOSSIL CREEK PKWY
FORT COLLINS, CO 80525
Phone: 970-988-9008
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File M
ZBA Case M
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: SWAN HEATING & AIR COND., INC.
License #: H-1920
Supervisor cert#:
599 W.66TH ST
LOVELAND, CO 80538
Phone: 970-215-5870
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Subcontractor(s)--------
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- _-Phone I I
I 1 License Number
i
Mechanical: SWAN HEATING &•AIR COND.,
970-215-5870 —. I l
-J r -1,-—".H-1920--'---
Work Description: Replace water heater 50 gallon and 50,000 BTU's.
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAccess' ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobile
IlPossible Inspections Reauired: 300 301 302 II
TOTAL FEES PAID AS OF 07/18/19: $62.36 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: 819 FOSSIL CREEK PKWY
Job Valuation: $1,606.75 Category: Residential
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134-fax
Building Permit#: B1905347
Issued Full: 07/18/2019
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 07/18/2019
$62.36
Receipt issued: 07/18/2019 Total Paid to Date:
$62.36
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$30.93
$30.93
07/18/2019
County Sales/Use Tax 100.217030
$6.43
$6.43
07/18/2019
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
07/18/2019
TOTAL FEES:
$62.36 $62.36
TOTAL BALANCE DUE AS OF 07/18/2019:
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
i i I I L_7 �-i - '"I
51 r
Fee Amounts are valid for date of this document only. Fees subject to change without notice.