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Home My WebLink About919 QUEENS CT - PERMITS - 10/18/2011Frt Collins Site Address: 919 QUEENS CT Job Valuation: $1,890.00 Category: Residential Owner: PENA, JERRE N/SUSAN K 919 QUEENS CT FORT COLLINS, CO 80525-4625 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134-fax Building Permit #: B1109195 Issued Full: 10/18/2011 Permit Type: Residential Water Heater Phone:970-691-3655 Zoning: Front setback: Rear setback: Right setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: BEN FRANKLIN PLBG/NO COLO 485 DENVER AVE LOVELAND, CO 80537 Subcontractor(s)- Plumbing: BEN FRANKL-IN PLBG/NO COLO I Work Description: INSTALL 50 GALLON WATER HEATER Left setback: Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: MP-598 Supervisor cert #: Phone:970-685-4571 /-P_hone License Number j .Phone r ,,- 1�"_ -AMP-598- � \(�-- _J� ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess ** Inspections: FNP FNE FNM TOTAL FEES PAID AS OF 10/18111: $15.00 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 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. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. SWT OCT 18 2011 Signature: Print Name: CO n �YCIGi t�`r Date: Form Revised Oct 2010 City Collins Site Address: 919 QUEENS CT Job Valuation: $1,890.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1109195 Issued Full: 10/18/2011 Permit Type: Residential Water Heater Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 10/18/2011 $15.00 BEN FRANK TRUST Receipt issued: 10/18/2011 Total Paid to Date: $15.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Permit Flat Fee w/o Subs $15 1000.422010 $15.00 $15.00 10/18/2011 TOTAL FEES: $15.00 $15.00 TOTAL BALANCE DUE AS OF 10/18/2011 Amount Due $0.00 $0.00 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.