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HomeMy WebLinkAbout3218 Fernwood Ln - Permits/Gas - Log, Line, Pipe - 01/28/2014of City Collins Site Address: 3218 FERNWOOD LN Job Valuation: $2,700.00 Category: Residential Owner: LAMB KELLY J 3218 FERNWOOD LN FORT COLLINS, CO 80525-2915 Zoning: Front setback: Rear setback: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1400424 Issued Full: 01/28/2014 Permit Type: Residential Gas Log Phone: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: # of stories: Fire Sprklr: Filing #: Lot #: Block #: Com sq ft: Ind sq ft: Basement sq ft: Occ Group: Const Type: Stock plan #: Stock plan options: Contractor: MASUN ENERGY SYSTEMS 308 S SUMMITVIEW DR FORT COLLINS, CO 80524 Subcontractor(s)= Electrical: OVERLOOK ELECTRIC Work Description: istallation of gas fireplace. License #: FP-1941 Supervisor cert#: Phone: 970-484-2112 j I License Number ME-762-- i B1400330 for the gas line. II SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess II ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inspections: LG GL TOTAL FEES PAID AS OF 01 /28/14: $85.08 Payment method: Check 1939 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 1S feet of each bedroom entrance. Signature: C\ 1111111 C �ALY Print Name: L\AL( \iJejh Date: 02fl I LI �� rm Revised Oct 2010 F6rt Collins Site Address: 3218 FERNWOOD LN Job Valuation: $2,700.00 Category: Residential Transactions Method Check Number Date Paid Check CK# 1939 01/28/2014 Receipt issued: 01/28/2014 Total Paid to Date: Fee Description Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee w/o Subs $25 1000.422010 Amount Paid $85.08 $85.08 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1400424 Issued Full: 01/28/2014 Permit Type: Residential Gas Log Comments Masun Energy Systems ck #1939 Fee Amount Amount Paid $51.98 $51.98 $8.10 $8.10 $25.00 $25.00 TOTAL FEES: $85.08 $85.08 Date Paid Amount Due 01/28/2014 $0.00 01/28/2014 $0.00 01/28/2014 $0.00 $0.00 TOTAL BALANCE DUE AS OF 01/28/2014: 0.00 010 F I (��OD L' 1�91 S Fee Amounts are valid for date of this document only. Fees subject to change without notice.