HomeMy WebLinkAbout639 S Loomis Ave - Permits/Gas - Log, Line, Pipe - 06/13/2011of
F6rtCollins
Site Address: 639 S LOOMIS AVE
Job Valuation: $500.00 Category: Residential
Owner: TODD, PERRY
2707 RED CLOUD CT
FORT COLLINS, CO 80525
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 #: B1102535
Issued Full: 06/13/2011
Permit Type: Residential Mechanical
Phone: 204-4535
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories
Fire Sprklr:
Corn sq ft:
Occ Group:
Stock plan #:
Contractor: MOORE PLMB & HOME IMPROVE, INC.
12423 SWANSON RANCH RD
LOVELAND, CO ,80538
Subcontracto'r(s)
Plumbing: MOORE�PLMB,& HOME -IMPROVE,
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: MP-335
Phone: 970-282-8822
Basement sq ft:
Supervisor cert #:
I;
License Number
-�,MP-335
I �
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Work Description: NEW GAS LINE FOR FURNACE-.RELATEDTO'UDU APPLICATION #UA1100014.
II ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess ** III
Inspections: GL FNM FNP FINE
TOTAL FEES PAID AS OF 06/13/11: $26.63 Payment method: Check 2577
" 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 15 feet of each bedroom'entrance.
Signature: Print Name: ��,Z/2Y �,pQ Date:
Form Revised Oct 2010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131102535
Issued Full: 06/13/2011
Permit Type: Residential Mechanical
Site Address: 639 S LOOMIS AVE
Job Valuation: $500.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK # 2577 06/13/2011
$26.63
TODD PERRY CK#2577
Receipt issued: 06/13/2011 Total Paid to Date:
$26.63
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$9.63
$9.63
06/13/2011
$0.00
County Sales/Use Tax 100.217030
$2.00
$2.00
06/13/2011
$0.00
Permit Flat Fee w/o Subs $15 1000.422010
$15.00
$15.00
06/13/2011
$0.00
TOTAL FEES:
$26.63
$26.63
$0.00
TOTAL BALANCE DUE AS OF 06/13/2011:
0. 00
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1
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.