HomeMy WebLinkAbout1318 Coulter St - Permits/Gas - Log, Line, Pipe - 06/27/2014City
F6rt Collins
Site Address: 1318 COULTER ST
Job Valuation: $400.00 Category: Residential
Owner: EISENACH MELISSA SHARED P
1318 COULTER ST
FORT COLLINS, CO 80524
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
282 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit#: B1403291
Issued Full: 06/27/2014
Permit Type: Residential Plumbing
Phone: 970-443-0679
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:
Contractor:
Subcontractors)
Com sq ft:
Occ Group:
Stock plan #:
Work Description: Installation of -new 14_ft gas,line to_ -i
Filing #: Lot#: Block#:
Ind sq ft:
Const Type: _
Stock plan options:
License #:
Phone:
Basement sq ft:
Supervisor cart#:
License Number
Li
gas service. Homeowner affidavit
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ilnspections: RP GL UGP FNE FNM FNP
TOTAL FEES PAID AS OF 06/27/14: $33.90 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: ! Print Name: -SC4-d F,54/IcG o Date: l� ` —
Fonn Rev[ ed Oct 2010
F�..Y �.
6rt Collins
Site Address: 1318 COULTER ST
Job Valuation: $400.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 06/27/2014 $33.90
Receipt issued: 06/27/2014 Total Paid to Date: $33.90
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
City Sales/Use Tax 251.122030 $7.70
County Sales/Use Tax 100.217030 $1.20
TOTAL FEES: $33.90
TOTAL B
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134-fax
Building Permit #: B1403291
Issued Full: 06127/2014
Permit Type: Residential Plumbing
Comments
Pay by Jared Eisenach credit card
Amount Paid Date Paid Amount Due
$25.00 , 06/27/2014 $0.00
$7.70 06/27/2014 $0.00
$1.20 06/27/2014 $0.00
$33.90
$0.00
CE DUE AS -OF 06/27/2014: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.