HomeMy WebLinkAbout664 BREWER DR - PERMITS - 7/22/2015F6rtCollins
Site Address: 664 BREWER DR
Job Valuation: $1,800.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 990.224.6134 -fax
Building Permit #: B1504328
Issued Full: 07/22/2016
Permit Type: Residential Water Heater
Owner: Strong, Jacalyn
664 Brewer Dr
Fort Collins, CO 80524 Phone: 581-6699
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot M Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: NORTHERN COLORADO AIR INC
812 STOCKTON AVE
FORT COLLINS, CO 80524
Subcontractors)-_ -
Mechanical: NORTHERN COLORADO AIR INC
Work Description: Replace water heater
Const Type:
Stock plan options:
License M H-837 Supervisor cert#:
Phone: 970-223-8873
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
_ ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile 11
Illnsoections: FNP FNE FNM II
TOTAL FEES PAID AS OF 07/22/15: $65.50 Payment method: Trust Account
Fee Detall 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
1 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
City Collins
Community Development & Neighborhood Services
281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1504328
Issued Full: 07/22/2015
Permit Type: Residential Water Heater
Site Address: 664 BREWER DR
Job Valuation: $1,800.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Trust Account 07/22/2015
$65.50
Receipt issued: 07/22/2015 Total Paid to Date:
$65.50
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$34.65
$34.65
07/22/2015
$0.00
County Sales/Use Tax 100.217030
$5.85
$5.85
07/22/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
07/22/2015
$0.00
TOTAL FEES:
$65.60
$65.50
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.