HomeMy WebLinkAbout829 Peterson St - Permits/Gas - Log, Line, Pipe - 11/14/2011�.F.�ort Collins
Site Address: 829 PETERSON ST
Job Valuation: $200.00 Category: Residential
Owner: DAVISON JOHN
829 PETERSON ST
FORT COLLINS, CO 80524-3320
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 217-2650
Building Permit#: B1110368
Issued Full: 11/14/2011
Permit Type: Residential Gas Log
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: Com sq ft: Ind sq ft: Basement sq.ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert #:
Phone:
r - -
Subcontractor(s) - Phone License Number
Work Description: INSTALL NEW EXTERIOR GASLIGHT ATTACHED TO FRONT OF HOUSE - INSTALL PER
MANUFACTURER'S SPECIFICATIONS AND 2009 IRC - HOMEOWNER AFFIDAVIT ON FILE - HOMEOWNER GIVEN
RESPONSIBILITES HANDOUT
II ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ** III
Inspections: GL LG
TOTAL FEES PAID AS OF 11/14/11: $19.66 Payment method: Credit Card
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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.
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Signature: Print Name: J 147 Z4 �%�ti Date: �� 2 j /
of
City Collins
Site Address: 829 PETERSON ST
Job Valuation: $200.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110368
Issued Full: 11/14/2011
Permit Type: Residential Gas Log
Method Check Number Date Paid
Amount Paid
Comments
Credit Card 11/14/2011
$19.65
PAID BY JOHN DAVISON CREDIT CARD
Receipt issued: 11/14/2011 Total Paid to Date:
$19.65
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$3.85
$3.85
11/14/2011
$0.00
County Sales/Use Tax 100.217030
$0.80
$0.80
11/14/2011
$0.00
Permit Flat Fee w/o Subs $15 1000.422010
$15.00
$15.00
11/14/2011
$0.00
TOTAL FEES:
$19.65 $19.65
$0.00
TOTAL BALANCE DUE AS OF 11/14/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.