HomeMy WebLinkAbout615 S LOOMIS AVE - PERMITS - 9/28/20161 Community Development & Neighborhood Services
City of
Fort Collins
281 N. College Ave Fort Collins, CO 480522
-fa
i 970.221.6760 970.224.616i3-fax
i Building Permit #: B1605695
Issued Full: 09/28/2016
Permit Type: Residential Water Heater
Site Address: 615 S LOOMIS AVE
Job Valuation: $4,813.00 Category: Residential
Owner: HEINEMANN THOMAS XCOLLEEN
7175 S VERBENA WAY
CENTENNIAL, CO 80112 Phone: 720-480-9653
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing M Lot #: Block #:
!t
l i Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
i
I Contractor: ALLEN PLUMBING & HEATING
101 SLINK AVE
FORT COLLINS, CO 80521
:I
Subcontractor(s)
Mechanical: ALLEN PLUMBING & HEATING
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: H-871 Supervisor cert #:
Phone: 970-494-7610
Phone License Number
970-494-7610 H-871
Work Description: Remove existing water heater and install new tank less -water heater.
II SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
IlInspections: FNP FNE FNM
TOTAL FEES PAID AS OF 09/28/16: $133.29 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.
Signature: Print Name:
Date:
Form Revised Oct 2010
F6rt Collins
Site Address: 615 S LOOMIS AVE
Job Valuation: $4,813.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605695
Issued Full: 09/28/2016
Permit Type: Residential Water Heater
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 09/28/2016
$133.29
Receipt issued: 09/28/2016 Total Paid to Date:
$133.29
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$92.65
$92.65
09/28/2016
$0.00
County Sales/Use Tax 100.217030
$15.64
$15.64
09/28/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
09/28/2016
$0.00
TOTAL FEES:
$133.29
$133.29
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.