HomeMy WebLinkAbout827 Crooked Creek Way - Permits/Water Heater - 12/30/2015City of
�,.F�rt Collins
Site Address: 827 CROOKED CREEK WAY
Job Valuation: $1,458.28 Category: Residential
Owner: WEINMANN DAVID C/ALICE IRENE
827 CROOKED CREEK WAY
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1509016
Issued Full: 12/30/2015
Permit Type: Residential Water Heater
Phone: 970-420-1053
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: POL- PUBLIC OPEN LANDS DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 14 Block #: 2
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprkir: Stock plan #:
Contractor: COLORADO DELTA MECHANICAL
6056 E. Baseline Rd. Ste #155
Mesa, AZ 85206
Subcontractor(s). _ . .
Plumbing: COLORADO DELTA MECHANICAL
Const Type: _
Stock plan options:
Work Description: Replace 50 gallon gas water heater 40k BTU's.
License #: MP-644 Supervisor cert#:
Phone: 480-222-0775
Phone License Number
480-222-0775 _ MP-644
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/30115: $57.81 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 Wthin 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
�t Collins
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1509016
Issued Full: 12/30/2016
Permit Type: Residential Water Heater
Site Address: 827 CROOKED CREEK WAY
Job Valuation: $1,458.28 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 12/30/2015 $57.81
Receipt issued: 12/30/2015 Total Paid to Date: $57.81
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $28.07 $28.07
County Sales/Use Tax 100.217030 $4.74 $4.74
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES: $57.81 $57.81
Date Paid
Amount Due
12/30/2015
$0.00
12/30/2015
$0.00
12130/2015
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form