HomeMy WebLinkAbout2207 Creekwood Dr - Permits/Gas - Log, Line, Pipe - 12/21/2007��,h�
Neighborhood & Building Services
Cityof Fart Collins
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0708442
Job site address: 2207 CREEKWOOD DR
Building Valuation: $5,000.00
Category: Residential
Owner: DAWSON, DONALD LEE
2207 CREEKWOOD DR
FORT COLLINS, CO 80525-2061
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File #:
Legal: Subdivision/PUD:
Issued Full
Permit type: Residential Gas Log
Phone:970-221-9169
Right setback:
ZBA Case #:
12/21 /2007
Left setback:
Minor Amend #:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Stock plan #:
Stock plan options:
Contractor:
License #:
Supervisor cert #:
Phone:
Subcontractor(s)
Phone
License Number. C
t Description: CONVERTING GAS LOG FIREPLACE TO A DIRECT VENT (COMBUSTION AIR FROM OUTSIDE)
FIREPLACE. HOMEOWNER AFFIDAVIT ON FILE.
**********To schedule inspections call 970-221-6769***********
Required inspections: GL LG
TOTAL FEES PAID AS OF 12/21/07 $110.00 Payment method: Check 12431
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
Signature: L /r— Print Name: �vraff'-Q Lr--C- � R �� r Date: yt c-e� b4-r Z) Zb O -7-
Fee Items Continued on Next Page
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Ci ty of Fort Collins
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0708442
Job site address: 2207 CREEKWOODDR
Building Valuation: $5,000.00
Category: Residential
Transactions:
Issued Full 12/21/2007
Permit type: Residential Gas Log
Method
Check
Check Number
Date Paid Amount
12/21/2007
Paid Comments
$110.00 PAID BY DONALD DAWSON CK #12431
CK# 12431
Receipt issued:
12/21/2007
Total Paid to Date:
$110.00
Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 408.122022 $75.00 $75.00
County Sales/Use Tax 101.231719 $20.00 $20.00
Permit Flat Fee w/o Subs $15 101.322101 $15.00 $15.00
TOTAL FEES: $110.00 $110.00
TO7
it only. Fees subject to change without noti
Date Paid
Amount Due
12/21/2007
$0.00
12/21/2007
$0.00
12/21/2007
$0.00
$0.00
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