HomeMy WebLinkAbout4229 S MASON ST - PERMITS - 9/17/2013F6rtCollins
Site Address: 4229 S MASON ST
Job Valuation: $250.00 Category: Admin. Off. -Comm./Ind
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1304827
Issued Full: 09/17/2013
Permit Type: Commercial Plumbing
Owner: HOMOLKA ROBERT L/PATRICIA J
3009 W LAKE ST
FORT COLLINS, CO 80521 Phone: 970-222-4479
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: CG - GENERAL COMMERCIAL DISTRICT,
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: AQUA PLUMBING & HEATING License #: MP-377 Supervisor cart #:
2441 COVENTRY CT
FORT COLLINS, CO 80526 Phone: 970-221-4737
Subcontractor(§I----,
Plumbing: =AQUA PLUMBING & HEATING
Job Contact: MICHAEL SABOY
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Work Description: Gas I ne test for gas leak
Phone License Number
970-221-4737 ❑ MP-377
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fegoV.com/CitizenAccess/amca/
Inspections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 09/17/13: $25.00 Payment method: Cash
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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.
Signature: Print Name: I �L�L O Date:
Form evised Oct 2010
F�o�rt� Cl
Site Address: 4229 S MASON ST
Job Valuation: $250.00 Category: Admin. Off. -Comm./Ind
Transactions
Cash 09/17/2013 $25.00
Receipt issued: 09/17/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1304827
Issued Full: 09/17/2013
Permit Type: Commercial Plumbing
Comments
Pay by Michael Saboy cash- $25
Amount Paid Date Paid Amount Due
$25.00 09/17/2013 $0.00
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 09117/2013:
=00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct 2010