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5313 Mail Creek Ln - Permits/Water Heater - 01/30/2018
City of F�ort Collins ,Ste Address: 5313 MAIL CREEK LN Job Valuation: $570.00 Category: Residential �,wner: POTTS RYAN N 5313 MAIL CREEK LN FORT COLLINS, CO 80525-3840 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -% Building Permit #: B1800650 Issued Full: 01/30/2018 Permit Type: Residential Water Heater Phone: 858-204-3718 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT LeOl8'•: Subdivision/PUD: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: HAHN PLUMBING & HEATING 130 CHESTNUT ST FORT COLLINS, CO 80524 Filing #: Lot #: Block #: Ind sq ft: _ Const Type: _ Stock plan options: Basement sq ft: License #: MP-15 Supervisor cert #: Phone: 970-484-7668 Subcontractor(s) Phone Plumbing: HAHN PLUMBING & HEATING 970-484-7668 Work Description: Replace 50 gallon natural gas water heater. License Number M P-15 SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Possible Inspections Required: 300 301 302 TOTAL FEES PAID AS OF 01/30/18: $37.54 Payment method: Trust Account '* Fee Detail Displayed on Next Page As a condition for the iasuance 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 ;.fie avent that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenoed, suspended, abandoned or not inspected within 180 days from the date of such permit Carte=,r Monoxide Alarm required within 15 feet of each bedroom entrance. signature: Print Name: Date: Fonn Revised Oct 2010 �.�i Of P?analftgr Oevekoprnerrc & Transporsation For 281N. College Ave P.O, eox 580 For[Collins, CO 80524 Phone 970-4I6-2740 Fa-. 2246134 affi This application is to be used to apply ;or the following perms only (check all that apply), 0 Air Conditlaning Q Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter Q Gas Log Q Heating Unit 6 Lawn Sprinkler 0 Mobile Home replacement Q Roofing ❑ Sewer Line • Q Pheo-voltaic Q manufacturer) NWater Heater ❑ ?rater Line ❑ woodlPell6t Stove (must be EPA canned provide make, model and manusaciurer). complete all applicable �informa �tion on the applPoa ion_ Incomplete appliceons W lI not be accepted• AppliCdtiol-I 4 eAcbw ` 60 Dale ' • ICI - m Forom'ce rese only Sob Site Address (req,W dJ Value of Consfinartlon ga6or, ma6eriaL� prom 'S3_�.1.��atl • o Property O.Wner Names �Y/Sta[e I�. ZIP Phone AMafa�a•ao�• 3� p�snAddress w5tata ZIA Phone 44 i r t Jima 13n c.i�z " T. Coacmr D Lf qe�'S� nu Addresscity/Slate Zip Phone ,l �-ir n n �� •�. ,h i Contractor City of At Collins S-al Tax T rfIP- I S Are you paying taxes here or by report? Q Here ReI s3r� c"' umbmr� 7 4 gred by �'�'6'�M Are you Paying with your trust accoury ayes Q NG i s this a resio*e=npai or Insmal project? Residential ElCommerdat i; residential, is iC mingle Family Detached ❑ Condo/townhorne (single family attached) ©0 lex /❑ -Multuamih7 (apartment) Q Garage it commercial, is it: 0 Sank El BW Ci Church 0 NoteUiulot?l Q Medical office Q office Q Reim! Q Restaurant 1 Other (eViain) rr is this building 50 Years of age or more? Q Yes rr k90 . ryas; you mayneed k7 mntacttO rlcPr�wvabon this is fora derrlolition permit, What year was the building con saucced? �r prier to 397.% YOU .will need an amasw acsa�smanr to submir W157ah Iftis applrcadon. Description of work u lawn sprinkler/bada'iow Pmveniei', must rtsi'MnSM p(umbsr. first time Subcontractor_ Listiir2camr>anynameorCc;�ofFcColllnsOr&nsa= mustliStVeensedel eehidan.• Efecnid=n Pitun6 MedtaniM Roofer Omer I hereby ackaiarlledge that I have read this application and state that the above Infonnatfon ks complete and conW. I agree to comply with all requirements contained herein and city ordinances -and State laws regulating bullding construction. E know that a permit is not valid until It has beer,. paid and issued. Applicant Print Ndme