HomeMy WebLinkAbout1736 Effingham St - Permits/Sprinkler - 05/25/2010/4100.,F�ort Collins
Site Address 1736 EFFINGHAM ST
Job Valuation 300 00 Category Residential
Owner PADGETT JEFFREYJAMES
1736 EFFINGHAM ST
FORT COLLINS CO 80526 2343
Zoning Front setback
Minor Amend #
Zoning district
Legal Subdivision/PUD
Rear setback
Plat File #
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 676o 970 224 6i34 fax
Budding Permit # B1002631
Issued Full 05/25/2010
Permit Type Residential Sprinkler
Phone 970 556 3012
Right setback
ZBA Case #
Filing # Lot #
Code Res sq ft Com sq ft Ind sq ft _
# of stones Occ Group Const Type _
Fire Sprklr Stock plan # Stock plan options
Contractor License #
Phone
W
Left setback
Block #
Basement sq ft
Supervisor cart #
SUbcontractorIS� \�_- - \ Phone License Number
Plumbing ACE HI PLUMBING 970-667-0300 ❑ MP 330
O O
Work Description INSTALL BACKFLOW AND IF OUTSIDE CITY WATER DISTRIC PROVIDE BACKFLOW TEST
RESULTS IF IN THE CITY WATER DISTRICT -CONTACT JOHN NELSON 221 6677
I� '* SCHEDULE INSPECTIONS ' By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess"* �I
Ins ections
TOTAL FEES PAID AS OF 05/25/10 20 70 Payment method Credit Card 77970420
" Fee Detail Displayed on Next Page
Asa conddcn for the issuance of a permrL I hereby declare that I am the owneror owners agent, au0wrized to perform the proposed work on the property desadied herein
I agree to comply with all the requirements contained herein and City ordinances and State laws associated with such work I understarid that such permit may be
revoked in the event that issuance was based on encored information This permit shall became null and void if the work authonaed by such pemut is riot commenced
suspended abandoned or not inspected within 180 days from the date of such pemnL
Signature Print Name Date
Form Revised May 2010
�„F,�ort Collins
Site Address 1736 EFFINGHAM ST
Job Valuation 300 00 Category Residential
Transactions
Method Check Number Date Paid
Credit Card CK # 77970420 05/25/2010
Receipt issued 05/25/2010 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
Amount Paid
$20 70
$20 70
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o$22
970 2216760 970 224 6134 fax
Building Permit # B1002631
Issued Full 05/25/2010
Permit Type Residential Sprinkler
Comments
AFFORDABLE ENTERPRISES INC
Fee Amount
Amount Paid
$4 50
$4 50
$1 20
$1 20
$15 00
$15 00
Date Paid
Amount Due
05/25/2010
$0 00
05/25/2010
$0 00
05/25/2010
$0 00
TOTAL FEES $20 70 $20 70 $0 00
r TOTAL BALANCE DUE AS OF 05/25/2010 0 00
Fee Amounts are valid for date of this document only Fees subject to change without notice