HomeMy WebLinkAbout1430 Stonehenge Dr - Permits/Gas - Log, Line, Pipe - 04/13/2012arof
t Collins
Site Address: 1430 STONEHENGE DR
Job Valuation: $627.00 Category: Residential
Owner: GOLBUFF DAVID G/MARY F
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1201970
Issued Full: 04/13/2012
Permit Type: Residential Gas Log
1430 STONEHENGE DR
FORT COLLINS, CO 80525-1230 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan M
Contractor: A CLEAN SWEEP, DBA•ADVANCED COMFORT
P.O. BOX 337987 ; �
GREELEY, CO 80633 \;
Subcontractors)
Mechanical: A CLEAN SWEEP DBA ADVANCED
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Work Description: INSTALLATION OF GAS BURNING MEN[
Ind sq ft:
Const Type: _
Stock plan options:
License M H-1796
Phone:970-339-8368
Basement sq ft:
Supervisor cart#:
License Number
H-1796
GAS UNIT ALREADY
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL LG
TOTAL FEES PAID AS OF 04113/12: $39.60 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 owneror 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 became 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: Le % Print Name: V�J (y5Date:
Form Revised Oct 2010
City of
�,.F,rt Collins
Site Address: 1430 STONEHENGE DR
Job Valuation: $627.00 Category: Residential
Transactions
Credit Card 04/13/2012 $39.60
Receipt Issued: 04/13/2012 Total Paid to Date: $39.60
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $12.09
County Sales/Use Tax 100.217030 $2.51
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES: $39.60
Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1201970
Issued Full: 04/13/2012
Permit Type: Residential Gas Log
Comments
PAID BY ADVANCED COMFORT CC
Amount Paid
Date Paid
Amount Due
$12.09
04/13/2012
$0.00
$2.51
04/13/2012
$0.00
$25.00
04/13/2012
$0.00
$39.60
$0.00
TOTAL BALANCE DUE AS OF 04/13/2012: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010