HomeMy WebLinkAbout4306 WIDGEON ST - PERMITS - 8/29/2019Flo'efcollmins
Site Address: 4306 WIDGEON ST
Job Valuation: $549.00 Category: Residential
Owner: HAVENS BRADLEY RICHARD/KEIRA LIN
2460 PROFESSOR AVE
CLEVELAND, OH 44113-4641
Zoning: Frontsetback:
Rear setback:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B1909067
Issued Full: 08/29/2019
Permit Type: Residential Water Heater
Phone: 773-742-6335
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: HAHN PLUMBING & HEATING License #: MP-15
130 CHESTNUT ST
FORT COLLINS„CO 80524 Phone: 970-484-7668
Subcontractor(s)- -Phone [�
Plumbing: ; HAHN PLUMBING & HEATING 970=4847668
L� i f ` r 3
J
Work Description: Replace 50 gallon natural gas water heater._ -'
Supervisor cert#:
License Number
MP-15
LA
(__j Li
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 08/29/19: $37.77 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 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
�t Collins
Site Address: 4306 WIDGEON ST
Job Valuation: $549.00 Category: Residential
Trnncnrfinnc
Method Check Number Date Paid
Trust Account 08/29/2019
Receipt issued: 08/29/2019 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$37.77
$37.77
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1909067
Issued Full: 08/29/2019
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$10.57
$10.57
$2.20
$2.20
$25.00
$25.00
$37.77 $37.77
Date Paid
Amount Due
08/29/2019
$0.00
08/29/2019
$0.00
08/29/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 08/2912019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.