HomeMy WebLinkAbout6127 WESTCHASE RD - PERMITS - 6/5/2013city of
��t Collins
Site Address: 6127 WESTCHASE RD
Job Valuation: $1,527.00 Category: Residential
Owner: ROMERO BENJAMIN B/MARQUITA L
6127 WESTCHASE RD
FORT COLLINS, CO 80528
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1302679
Issued Full: 06/05/2013
Permit Type: Residential Water Heater
Phone: 970-902-6620
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* 8 Block #: 16
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: BEN FRANKLIN PLUMBING OFAORTHERN
COLORADO
485 DENVER AVE '.
LOVELAND, CO \80537�;
Subcontractor(s)—
Plumbing: I B
ij
Work Description: F
License #: MP-598 Supervisor cert #:
Phone:970-.66-9.8187
r
J
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNP FNE FNM
TOTAL FEES PAID AS OF 06/05/13: S25.00 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'rf 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: E N T E R F rl Pk' 0 6 2013 Print Name: Date:
Form Revised Oct 2010
City of
FAA0111k Collins
Site Address: 6127 WESTCHASE RD
Job Valuation: $1,527.00 Category: Residential
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1302679
Issued Full: 06/05/2013
Permit Type: Residential Water Heater
Transactions
Method Check Number Pate Paid Amount Paid Comments
Trust Account 06/05/2013 $25.00 Paid by BEN FRANKLIN PLUMBING OF NORTHERN
COLORADO, trust MP-598.
Receipt issued: 06/05/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/05/2013 $0.00
TOTAL FEES: $25.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF 06tO 2013: 0.00
0 O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010