HomeMy WebLinkAbout2006 Kingsborough Dr - Permits/Water Heater - 08/13/2012,�rof
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Site Address: 2006 KINGSBOROUGH DR
Job Valuation: $1,600.00 Category: Residential
Owner: CRIDER RANDALL/MARTHA L
2313 W STUART ST
FORT COLLINS, CO 80526
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131204897
Issued Full: 08/13/2012
Permit Type: Residential Water Heater
Phone: 970-493-3717
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BERSHINSKY P & H
P.O. BOX 679
FORT COLLINS, CO 80522
Subcontractor(s)-
Plumbin
: ' BERSHINSKY P & H
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Filing #: Lot #: Block #.-
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: MP-143 Supervisor cert#:
Phone: 970-493-4355
Work Description: REPLACE WATER HEATER
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess I
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 08/13/12: $25.00 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.
SR? ID AUG i t2012
Signature: Print Name: Uf v, Date:
Form Revised Oct 2010
Filing #: Lot #: Block #.-
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: MP-143 Supervisor cert#:
Phone: 970-493-4355
Work Description: REPLACE WATER HEATER
_z
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess I
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 08/13/12: $25.00 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.
SR? ID AUG i t2012
Signature: Print Name: Uf v, Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 2006 KINGSBOROUGH DR
Job Valuation: $1,600.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 08/13/2012
Receipt issued: 08/13/2012 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $25 1000.422010
Amount Paid
$25.00
$25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1204897
Issued Full: 08/13/2012
Permit Type: Residential Water Heater
Comments
BERSHINSKY TRUST
Fee Amount Amount Paid Date Paid
$25.00 $25.00 08/13/2012
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 08/13/2012:
Amount Due
$0.00
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.