HomeMy WebLinkAbout1000 W Prospect Rd - Permits/Gas - Log, Line, Pipe - 10/28/2013vvuu,awuiy IVVVIvYuwraL a a.aaynuv„IVVu uu vwc
970.221.676o 970.224.6134 -.fax
Address: 1000 W PROSPECT RD
Valuation: $4,820.00 Category: Residential
r: HEADRICK EZRA H
1000 W PROSPECT RD
FORT COLLINS, CO 80526
Phone:
Building Permit #: B1305645
Issued Full: 10/28/2013
Permit Type: Residential Gas Log
Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGRBORHOOD DISTRICT
Subdivision/PUD: Filing #: Lot #: Block #:
Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprkir: Stock plan #: Stock plan options:
QUALITY ENERGY INSTALLS License #: FP-1649 Supervisor cert#: 1930-FP
PO BOX 272715
FORT COLLINS, CO 80527, ; Phone: 970-690-5969
ubcontractor s —�
lumbing: APR -PLUMBING & HEATING INC
,
Work Description: Installatio\f gas fireplace insert into.exis6i
I License Number
-2464 ❑ MP-749
fireplace. Installation of new gas line for fireplace.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amea/
Ins ections: GL LG
TOTAL FEES PAID AS OF 10/26/13: $132.25 Payment method: Check 8717
** Fee Detall 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 Sate 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: C u-z �rnS Date: 10 - ZB'-
ns
vv11111iunaay ✓ovuvY11w111 a ♦vutyrtwi nvvu uoi vu.o
970.221.676o 970.224.6134 -fax
Address: 1000 W PROSPECT RD
Valuation: $4,820.00 Category: Residential
PTMI
eck CK # 8717 10/28/2013 $132.25
iceipt issued: 10/28/2013 Total Paid to Date: $1321.25
ie Description Account Code Fee Amount
y Sales/Use Tax 251.122030 $909
unty Sales/Use Tax 100.217030 $14�46
rmit Flat Fee w/o Subs $25 1000.422010 $25,00
Building Permit #: B1305645
Issued Full: 10/28/2013
Permit Type: Residential Gas Log
Comments
Pay by Quality Energy Installations Inc. check # 8717
Amount Paid
Date Paid
$92.79
10/28/2013
$14.46
10/28/2013
$25.00
10/28/2013
TOTAL FEES: $132,25 $132.25
TOTAL BALANCE DUE AS OF 10/28/2013:
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.