HomeMy WebLinkAbout626 W PROSPECT RD - PERMITS - 4/27/2010Ft of
Site Address 626 W PROSPECT RD
Job Valuation $2,980 00 Category Residential
Owner BURKE SANDRA J MATHIS
27 DUTCH CREEK DR
LITTLETON CO 80123 6577
Zoning Front setback Rear setback
Zoning district HMN Plat File #
Legal Subdivision/PUD
Code Res sq ft
# of stones
Fin:
Sprinkler
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 2216760 970 224 6134 fax
BUILDING PERMIT # B1002384
Permit Type
Phone 303 798 8001
Right setback
ZBA Case #
Filing # Lot #
Com sq ft Ind sq ft
Occ Group Const Type
Stock plan # Stock plan options
Issued Full 04/27/2010
Residential Water Heater
Left setback
Minor Amend #
Basement sq ft
Block #
Contractor BERSHINSKY P & H �r License # MP 143 Supervisor cert #
P O BOX 679;� J L J L,
�
1-J Phone 970 493 4355
FORT COLLI \`CO �80522 I
Subcontractor(s)� `J // Phone License Number
Plumbing BERSHINSKY P & H 970-493-4355 MP 143
O O
O O
Work Description REPLACE WATER HEATER NEW VENT OLD VENT WENT INTO BRICK CHIMNEY —INSTALL
STALL
PAN AND RUN NEW VENT -,TO
*' SCHEDULE INSPECTIONS '' By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess**
Ins ections FNP FNE FNM
TOTAL FEES PAID AS OF 04/27/10 15 00 Payment method Trust Account
Asa condition for the issuance of a pemhrL I hereby declare that I am the owneror owners agent, au0ior¢ed to perform the proposed work on the propertydescribed herein
I agree to oomply with all the requirements contained herein and City ordinanoes and State laws associated with such work I understand that such permit may be
revoked in the event that issuance was based on incorrect hnformabon This permit shall become null and void d the work authorized by such permit is not commenced
suspended abandoned or not inspected within 180 days from the data of such permit.
Signature Print Name
Form Revised Oct 2008
Date