HomeMy WebLinkAbout641 S TAFT HILL RD - PERMITS - 3/4/2009City, of
F6rt Collins
/"V*480-
Site Address: 641 S TAFT HILL RD
Job Valuation: $2,900.00 Category: Residential
Owner: DICKINSON, KENNY D
1116 EMIGH ST
FORT COLLINS, CO 80524-4011
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File M
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Stock plan #:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0901213
Issued Full: 03/04/2009
Permit Type: Residential Plumbing
Phone:
Right setback:
ZBA Case #:
Filing #:
Left setback:
Minor Amend M
Lot #: Block M
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan options:
Contractor: NORTH. COLO PLMBG & DRAIN
749 S. LEMAY/AVE #A,-3=142 _
FORT COLLINS, CO 0524`;
License #: MP-579
Phone: 970-221-0872
Subcontractor(s),/Phone
Plumbing: NORTH. COLO PLMBG &".DRAIN / 970221.
I
Work Description: Sewer line section replacement.
Supervisor cart #`..
License Number
-0872 MP-579
"* SCHEDULE INSPECTIONS I By Phone: 221-6769 *** By Web: http://aaweb.fcgov,com/CitizenAccep§**
Ins ections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 03/05/09 $93.60 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 ttgt issuance was based on incorrect infometion. This pemdt shaft become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or noted within 180 days from the date of such permit
Signature: Print Name: l,, �.. �/� Date:
Form Revised 02008eZ-
City. of
F6rt Collins
Site Address: 641.S TAFT HILL RD
Job Valuation: $2,900.00 Category: Residential
Transactions
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 8o522-o58o
Phone:97o-221-676o Fax:97o-224-6134
BUILDING PERMIT #: B0901213
Issued Full: 03/04/2009
Permit Type: Residential Plumbing
Trust Account
03/04/2009
$93.60
Receipt issued: 03/05/2009 Total Paid to Date:
$93.60
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$38.50
$38.50
03/04/2009
$0.00
Subs
City Sales/Use Tax
251.122030
$43.50
$43.50
03/04/2009
$0.00
County Sales/Use Tax
100.217030
$11.60
$11.60
03/04/2009
$0.00
TOTAL.FEES'
Ll
$93.60
$0.00
DUE AS -OF 0310512009: 0.00
El
Fee Amounts are valid for date of this document only. Fees subject to change without notice.