HomeMy WebLinkAbout4719 CREST RD - PERMITS - 1/15/2015�of
t Collins
Site Address: 4719 CREST RD
Job Valuation: $1,777.00 Category: Residential
Owner: LEFTWICH ERIC W
4719 CREST RD
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1500164
Issued Full: 01/16/2016
Permit Type: Residential Water Heater
Phone:970-222-7636
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block M
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BEN FRANKLIN PLUMBING OF NORTHERN
COLORADO
485 DENVER AVE
LOVELAND; CO 80537
Subcontractor(s)
Plumbing: BEN F,RANKLIN,PLUMb]NG'OF N,
Work Description: Install 50 gallon water heater =
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-598
Phone: 970-.66-9.8187
Phone
970-.66-9.81, -
Basement sq ft:
Supervisor cert#:
License Number
MP-598- -
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II'
***By Mobile Device: http://www.fcciov.com/CitizenAccess/mobile
Ilinspections: FNP FNE FNM
TOTAL FEES PAID AS OF 01/16/15: $64.99 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 assodated 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:
Forth Revised Oct 2010
F6rt Collins
Site Address: 4719 CREST RD
Job Valuation: $1,777.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1600164
Issued Full: 01/15/2015
Permit Type: Residential Water Heater
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 01/15/2015
$0.61
Check CK#8661 01/15/2015
$64.38
Receipt issued: 01/15/2015 Total Paid to Date:
$64.99
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$34.21
$34.21
01/15/2015
$0.00
County Sales/Use Tax 100.217030
$5.78
$5.78
01/15/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
01/15/2015
$0.00
TOTAL FEES:
$64.99
$64.99
$0.00
------
TOTAL BALANCE DUE AS- OFf 01 /15/2015:
0.00
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-
w
-.
r.
Fee Amounts are valid for date of this document only. Fees subject to change without notice.