HomeMy WebLinkAbout824 Grouse Cir - Permits/Other - 12/09/2009City of
F6rt Collins
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Site Address: 824 GROUSE CIR
Job Valuation: $768.00 Category: Residential
Owner: HUBBARD, ROBERT M
824 GROUSE CIR
FORT COLLINS, CO 80524
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Stock plan #:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0907758
Issued Full: 12/09/2009
Permit Type: Residential Fireplace
Phone: 218-4450
Right setback: Left setback:
ZBA Case #: Minor Amend #:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft:
Occ Group: Const Type:
Contractor: ADVANCED COMFORT
2152 45TH AVE
GREELEY, CO 80634
Subcontractor(s)- ---
Mechanical: - ADVANCED COMFORT
Stock plan options:
Basement sq ft:
License #: H-1796 Supervisor cert M
Phone: 970-339-8368
--Phone
-
970-339-8368
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License Number
H-1796
Work Description: INSTALL NEW WOOD BURNINGINSERT, EPA -RATED y 01 _ V -.
NAPOLEAN 1101 INSERT INEXISTING
NON-COMBUSTABLE WOOD BURNING BOX AS..PER�MANUFACTURER'S INSTALLATION RECOMMENDATIONS,-
AND INSTALL NEW CHIMNEY�LINER.__:._-
I ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
inspections: FP
TOTAL FEES PAID AS OF 12/09/09 $29.59 Payment method: Credit Card
" 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.
Print Name: Date:
Form Reviseg W 2008
City of
F6rt Collins
Site Address: 824 GROUSE CIR
Job Valuation: $768.00 Category: Residential
Transactions
Method Check Number Date Paid
Credit Card 12/09/2009
Receipt issued: 12/09/2009 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 $15 1000.422010
TOTAL FEES:
Amount Paid
$29.59
$29.59
Community Development & Neighborhood Services
281N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0907758
Issued Full: 12/09/2009
Permit Type: Residential Fireplace
Comments
ADVANCED COMFORT PD BY CC
Fee Amount
Amount Paid
$11.52
$11.52
$3.07
$3.07
$15.00
$15.00
$29.59 $29.59
Date Paid
Amount Due
12/09/2009
$0.00
12/09/2009
$0.00
12/09/2009
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12/09/2009: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.