HomeMy WebLinkAbout1706 Collindale Dr - Permits/Gas - Log, Line, Pipe - 01/28/2013Site Address: 1706 COLLINDALE DR
Job Valuation: $2,778.00 Category: Residential
Owner: SIMPSON ROBERT F
1706 COLLINDALE DR
FORT COLLINS, CO 80525
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit #: B1300380
Issued Full: 01/28/2013
Permit Type: Residential Gas Log
Phone:970-556-1903
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT ---
Legal: Subdivision/PUD: Filing M 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: QUALITY ENERGY INSTALLS
PO BOX 272715
FORT COLLINS, CO 80527
License #: FP-1649 Supervisor cart #:
Phone: 970-690-5969
Subcontractor_(sF_:] / P.hone License Number
u
Work Description: Replace gas log with gas insert.
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 -" ***By Web: http://amos.fcgov.com/CitizenAccess
Inspections: GL LG
TOTAL FEES PAID AS OF 01/28/13: $86.81 Payment M-ethod: Check 8519
Fee Detail Displayed on Next Page
Asa condition for the issuanceof a permit, I hereby declare that I am the owneror owners agent, aurized 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 lawsthoassociated 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: l'oit rr-S Date: I - 2-D - I
Forth Revised Oct 2010
of
Mcityt� Collins
Site Address: 1706 COLLINDALE DR
Job Valuation: $2,778.00 Category: Residential
Transactions
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1300380
Issued Full: 01/28/2013
Permit Type: Residential Gas Log
Check CK # 8519 01/28/2013 $86.81 Paid by Quality Energy Ch#8519
Receipt issued: 01/28/2013 Total Paid to Date: $86.81
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $53.48 $53.48 01/28/2013 $0.00
County Sales/Use Tax 100.217030 $8.33 $8.33 01/28/2013 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 01/28/2013 $0.00
TOTAL FEES: $86.81 $86.81 $0.00
TOTAL BALANCE DUE AS OF 01/28/2013: 0.00
I
0 �I
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010