HomeMy WebLinkAbout5133 Miners Creek Ct - Permits/Water Heater - 07/23/2013Frt Collins
Site Address: 5133 MINERS CREEK CT
Job Valuation: 995.60 Category: Residential
Owner: CROWELL RICHARD/MARNI M
5133 MINERS CREEK CT
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1303774
Issued Full: 07/23/2013
Permit Type: Residential Water Heater
Phone: 970-207-1816
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 11 Block #:
Code: Res sq it: Com sq ft: Ind sq it: Basement sq it:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock Dlan Options:
Contractor: WORKMAN PLUMBING SERVICES INC /
PO BOX 794 � I
LOVELAND, CO 80539 ~�\ / 7
Subcontractors)
J!
Plumbing: WORKMAN PLUMBING SERVICES
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Work Description: Water,Heater_replacement
License #: MP-673 Supervisor cart #:
Phone: 970-308-9796
License Number
M P-673
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 07/23/13: $47.16 Payment method: Credit Card
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..
SHIPPED JUL 2 2 2013
Signature: Print Name: Date:
Form Revised Oct 2010
F-,-fCollins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
979.221.676o 970.224.6134 -fax
Building Permit #: B1303774
Issued Full: 07/23/2013
Permit Type: Residential Water Heater
Site Address: 5133 MINERS CREEK CT
Job Valuation: $995.60 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 07/23/2013 $47.16 Richard Workman CC
Receipt issued: 07/23/2013 Total Paid to Date: $47.16
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:
Fee Amount
Amount Paid
$19.17
$19.17
$2.99
$2.99
$25.00
$25.00
$47.16 $47.16
Date Paid
Amount Due
07/23/2013
$0.00
07/23/2013
$0.00
07/23/2013
$0.00
$0.00
TOTAL BALANCE DUE AS OF 071=013: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010