HomeMy WebLinkAbout821 Peterson St - Permits/Plumbing - 05/20/2013�fCollins
Site Address: 821 PETERSON ST
Job Valuation: 5$ 00.00 Category: Residential
Owner: TILLEY GREGORY/COURTNEY
821 PETERSON ST
FORT COLLINS, CO 80524-3320
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1302350
Issued Full: 05/20/2013
Permit Type: Residential Plumbing
Phone: 970-215-8112
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor:
Subcontractors) - Phone
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Work Description: Install poured in place shower pan.
License #:
Phone:
Supervisor cart#:
License Number
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 05/20/13: $36.13 Payment method: Check 205
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: _ o Print Name:` Jrr Sri lk Fnl djt4 b-qce, Date: S/ O 113
Form Revised Oct 2010
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Site Address: 821 PETERSON ST
Job Valuation: 5$ 00.00 Category: Residential
Transactions
Check CK # 205 05/20/2013 $36.13
Receipt issued: 05/20/2013 Total Paid to Date: $36.13
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
City Sales/Use Tax 251.122030 $9.63
County Sales/Use Tax 100.217030 $1.50
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1302350
Issued Full: 05/20/2013
Permit Type: Residential Plumbing
Comments
Paid by Courtney Tilley CH#205
Amount Paid Date Paid Amount Due
$25.00 05/20/2013 $0.00.
$9.63 05/20/2013 $0.00
$1.50 05/20/2013 $0.00
TOTAL FEES: $36.13 $36.13
$0.00
TOTAL BALANCE DUE AS OF 05/2012013: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010