HomeMy WebLinkAbout4913 DELANY DR - PERMITS - 5/22/2017of
City Collins
Site Address: 4913 DELANY DR
Job Valuation: $2,300 00 Category. Residential
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit #: B1702733
Issued Full: 05/2212017
Permit Type Residential Water Heater
Owner- SAMBUR JUSTIN B/DANIELLE L
4913 DELANY DR
FORT COLLINS, CO 80528-6304 Phone 970-420-4279
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 #
Code: Res scl ft Com scl ft Ind scl ft Basement scl ft
# of stories Occ Group Const Type
Fire Sprklr Stock plan # Stock plan options
Contractor: BEN FRANKLIN PLUMBING OF NORTHERN r� License # MP-598 Supervisor cert#
COLORADO1. _ it
485 DENVER AVE I r l �'�;%, (� ri l Phone 970-685-4571
LOVELAND,-CI '80537".
Subcontractor(s) -,� �C
e
Plumbing BEN FR N LIN•PLUrMBING'OF N.4571
Work Description remove/replacece water Beater
License Number
MP-598 j
SCHEDULE INSPECTIONS *** By Phone. 970-221-6769 *** By Web hftp•//www.fcgov.com/CitizenAccess
***By Mobile Device. http://www fcqov.com/CitizenAccess/mobile
FINE FNM
TOTAL FEES PAID AS OF 05/22/17. $76.76 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, authonzed 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 maybe
revoked in the event that issuance was based on incorrect information This permit shall become null and void d the work authonzed 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
City of Community Development & Neighborhood Services
Fort Collins 281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -.fax
Building Permit #: B1702733
Issued Full: 05/22/2017
Permit Type: Residential Water Heater
Site Address: 4913 DELANY DR
Job Valuation: $2,300 00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Trust Account 05/22/2017
Paid
$76 76
Comments
Receipt issued 05/22/2017 Total Paid to Date
$76 76
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251 122030
$44 28
$44 28
05/22/2017
$0 00
County Sales/Use Tax 100 217030
$7 48
$7 48
05/22/2017
$0 00
Permit Flat Fee w/o Subs $25 1000 422010
$25 00
$25 00
05/22/2017
$0 00
TOTAL FEES:
$76.76
$76.76
$0.00
TOTAL BALANCE DUE AS OF 05/2212017: 0.00
Fee Amounts are valid for date of this document only Fees subject to change without notice