HomeMy WebLinkAbout4351 GEMSTONE LN - PERMITS - 1/21/2015F
Site Address: 4351 GEMSTONE LN
Job Valuation: $1,039.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1500362
Issued Full: 01/21/2015
Permit Type: Residential Water Heater
Owner: MILLER PATRICK W
4351 GEMSTONE LN
FORT COLLINS, CO 80525 Phone: 970-226-4378
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
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: ACE HI PLUMBING License M MP-330 Supervisor cert#:
4916 W EISENHOWER BLVD
LOVELAND, CO 80537 Phone: 970-667-0300
Subcontractor'(s)-- Phone 7 License Number
Plumbing: I ACE HI PLUMBING _ r j 970-667-0300--
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Work Description: Replace 40,gallon water heater
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 01/21/15: $48.38 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 within 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
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Site Address: 4351 GEMSTONE LN
Job Valuation: $1,039.00 Category: Residential
Transactions
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1500362
Issued Full: 01/21/2015
Permit Type: Residential Water Heater
Method Check Number Date Paid Amount Paid Comments
Trust Account 01/21/2015 $48.38
Receipt issued: 01/21/2015 Total Paid to Date: $48.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $20.00 $20.00 01/21/2015 $0.00
County Sales/Use Tax 100.217030 $3.38 $3.38 01/21/2015 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/21/2015 $0.00
TOTAL FEES: $48.38 $48.38 $0.00
TOTAL BALANCE DUE AS OF 01/21/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.