HomeMy WebLinkAbout4640 WITHERS DR - PERMITS - 4/3/2019Frt Collins
Site Address: 4640 WITHERS DR
Job Valuation: $6,565.00 Category: Residential
Owner: ROGERS DAVID XCHRISTIE L
4640 WITHERS DR
FORT COLLINS. CO 80524-6017
Zoning: Frontsetback:
Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1902028
Issued Full: 04/03/2019
Permit Type: Residential Water Heater
Phone:970-402-5036
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Conn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ALLEN PLUMBING.& HEATING
101 S. LINK LANE' '
FORT COLLINS, CO 80524
Subcontractor,(s)� - -'
Plumbing: ALLEN PLUMBING & HEATING^I
Wdrk Description: Replace water heater.
Filing#: Lot#: 39 Block#:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-4
Phone: 970-484-4841
Basement sq ft:
Supervisor cert#:
' I License Number
MP-4
LJ 1
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcaov.com/CitizenAccess ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobile
IlPossible Inspections Required: 300 301 302 II
TOTAL FEES PAID AS OF 04/03119: $177.64 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
[ins
Site Address: 4640 WITHERS DR
Job Valuation: $6,565.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 04/0312019 $177.64
Receipt issued: 04/03/2019 Total Paid to Date: $177.64
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $126.38
County Sales/Use Tax 100.217030 $26.26
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1902028
Issued Full: 04/0312019
Permit Type: Residential Water Heater
Comments
Amount Paid
Date Paid
Amount Due
$126.38
04/03/2019
$0.00
$26.26
04/03/2019
$0.00
$25.00
04/03/2019
$0.00
TOTAL FEES: $177.64 $177.64
$0.00
1f,6TA'L BALANCE DUE AS OF 04/03/2019:
00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.