HomeMy WebLinkAbout645 S WHITCOMB ST - PERMITS - 5/22/2019 (2)�.,For�t Collins
of
Site Address: 645 S WHITCOMB ST
Job Valuation: $977.99 Category: Residential
Community Development & Neighborhood Services
281N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1903459
Issued Full: 05/22/2019
Permit Type: Residential Water Heater
Owner: Dunn Real Estate
608 S College Ave
FORT COLLINS, CO 80524 Phone: 970-308-0730
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY AIR License #: H-835 Supervisor cert#:
2416 DONELLA CT #A
FORT COLLINS;,CO 80524 Phone: 970-493-2050
Subcontractor (s)__�� a�Ph`one i License Number
Mechanical: I POUDRE VALLEY AIR r�_ %`y , 970493-2050—
Work Description: Replace water heater.
SCHEDULE INSPECTIONS: ** via Text Message: 888406-6394 ** 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 06122/19: $0.00 Payment method: _
`* Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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
of
City Collins
Site Address: 645 S WHITCOMB ST
Job Valuation: $977.99 Category: Residential
Transactions
Method Check Number Date Paid
Receipt issued: 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:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1903459
Issued Full: 05/22/2019
Permit Type: 'Residential Water.Heater
Amount Paid Comments
Fee Amount Amount Paid
$18.83
$3.91
$25.00
rIt
ItI
5 t
$47.74 $0.00
Date Paid Amount Due
$18.83
$3.91
$25.00
$47.74
TOTAL BALANCE DUE AS OF 05/2212019: J47.74
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct