HomeMy WebLinkAbout1013 Milan Terrace Dr - Permits/Water Heater - 12/19/2011of
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Site Address: 1013 MILAN TERRACE DR
Job Valuation: 933.00 Category: Residential
Owner: LAFFLAM FAMILY REVOCABLE TRUST
1013 MILAN TERRACE DR
FORT COLLINS, CO 80525-6711
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1110783
Issued Full: 12/19/2011
Permit Type: Residential Water Heater
Phone: 818-309-3436
Zoning: Front setback: Rear setback: Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Left setback:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: COLORADO DELTA MECHANICAL License #:
6052 EAST BASELINE RD #155
Basement sq ft:
MP-644 Supervisor cert #:
MESA, AZ 85206 Phone: 866-692-5273
Subcontractor`(s)__ __ --� _ Phone License Number
Plumbing: COLORADO-DELTA _MECHANICAL �� 8667692-527,3.-. -_. MP-644-
Work Description: REPLACE WATER HEATER 40 GALLON GAS 38;000 BTU'S
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***Bv Mobile Device: httD://amos.fcaov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/19/11: $36.72 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: SHIP u DEC 19 2011 Print Name:
Date:
Form Revised Oct 2010
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c�ty of Community Deuelopment&Neighborhood Seruices
F � 28i N. College Aue Fort Collins, CO 80,522
O�� �0��'�� 97o.22i.6�6o 970•224•6i34 -fax
Building Permit#: B1110783
Issued Full: 12119/2011
Permit Type: Residential Water Heater
�� Site Address: 1013 MILAN TERRACE DR
� Job Valuation: $933.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 12/19/2011 $36.72 COLORADO DELTA MECHANICAL
: Receipt issued: 12/19/2011 Total Paid to Date: $36.72
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $17.98 $17.98 12/19/2011 $0.00
County Sales/Use Tax 100.217030 $3.74 $3.74 12/19/2011 $0.00
Permit Flat Fee w/o Subs$15 1000.422010 $15.00 $15.00 12/19/2011 $0.00
TOTAL FEES: $36.72 $36.72 $0.00
TOTAL BALANCE DUE AS OF 1 Z/19/2011: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.