HomeMy WebLinkAbout615 W LAKE ST - PERMITS - 6/24/2015/440.F�ort Collins
Site Address: 615 W LAKE ST
Job Valuation: $1,425.00 Category: Residential
Owner: RESEARCH FOUNDATION (CSURF)
PO BOX 483
FORT COLLINS, CO 80522
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1504756
Issued Full: 06/24/2016
Permit Type: Residential Water Heater
Phone: 970-491-2625
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: HAHN PLUMBING & HEATING
130 CHESTNUTST
FORT COLLINS, CO 80524
Subcontractors)
Plumbing: HAHN PLUMBING & HEATING
i
Work Description: Replace water heater
Const Type:
Stock plan options:
License #: MP-15 Supervisor cent #:
Phone: 970-484-7668
Phone
970484-7668 -
License Number
:. MP-15
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 06/24/15: $26.00 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 owneror owners agent, authorized to perform the proposed workon 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010
art Collins
Site Address: 615 W LAKE ST
Job Valuation: $1,425.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,%
Building Permit #: B1504756.
Issued Full: 06/24/2015
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/24/2015 $25.00
Receipt issued: 06/24/2015 Total Paid to Date: $26.00
Fee Description Account Code Fee Amount Amount Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$25.00 $25.00
Date Paid Amount Due
06/24/2015 $0.00
TOTAL BALANCE DUE AS OF 06/2412015:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.