HomeMy WebLinkAbout3500 Carlton Ave - Permits/Water Heater - 12/03/2014ins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Address: 3500 CARLTON AVE. X 53
Valuation: $1,033.00 Category: Residential
: ORTIS RONALD C
3500 CARLTON AVE UNIT X53
FORT COLLINS, CO 80525
ing: Front setback:
Minor Amend #:
Zoning district:
: Subdivision/PUD:
MULTI
Building Permit#: B1412373
Issued Full: 12/03/2014
Permit Type: Residential Water Heater
Phone: 970-223-5992
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #:
Res sq ft: Corn sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #:
-actor: WORKMAN PLUMBING SERVICES INC
PO BOX 794
LOVELAND, CO 80539
u
Work Description: ReDlacement
safety test prior to final approval
IN, G„SERVICE
I
I
water heater.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-673
Phone:970-308-9796
Supervisor cert#:
License Number
i MP-673
ral draft appliances with a draft hood requires a combustion
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 12/03/14: $47.99 Payment method: Cash
"* Fee Detail Displayed on Next Page
Asa 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 Alxrm required within 15 feet of each bedroom entrance.
42-- 3 _
Forth Revised Oct 2010
ins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
ite Address: 3500 CARLTON AVE, X 53
3b Valuation: $1,033.00 Category: Residential
Building Permit#: B1412373
Issued Full: 12/03/2014
Permit Type: Residential Water Heater
Check Number Date Paid Amount Paid Comments
12/03/2014 $47.99 Pay by Richard Workman cash- $100.00. change back
$52.01
eceipt issued: 12/03/2014 Total Paid to Date:
$47.99
ee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
ity Sales/Use Tax 251.122030
$19.89
$19.89
12/03/2014
$0.00
ounty Sales/Use Tax 100.217030
$3.10
$3.10
12/03/2014
$0.00
ermit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
12/03/2014
$0.00
TOTAL FEES:
$47.99 $47.99
TOT,
C�
O
$0.00
JCE DUE AS OF 12103/2014: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.