HomeMy WebLinkAbout363 Bannock St - Permits/Sprinkler - 05/15/2012Icity of
Fort Collins
Site Address: 363 BANNOCK ST
Job Valuation: $89.00 Category: Residential
Owner: ROSSMAN MICHAEL A
363 BANNOCK ST
FORT COLLINS, CO 80524
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 #: B1202595
Issued Full: 05/15/2012
Permit Type: Residential Sprinkler
Phone:
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Contractor:
Subcontractor(s)
Plumbing:
Com sq ft:
Occ Group:
Stock plan #:
GONZALES PLUMBING
Filing #: Lot #: 7 Block #: 5
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: Supervisor cert #:
Phone:
Phone License Number
970-203-0682 MP-503
Work Description: INSTALLATION OF BACKFLOW DEVICE FOR RESIDENTIAL SPRINKLER SYSTEM, PROVIDE
REQUIRED BACKFLOW TESTRESULTS TO NORM MILL WITH THE CITY OF FORT COLLINS UTILITIES DEPARTMENT.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections:
TOTAL FEES PAID AS OF 05/15/12: $25.00 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 infornabon. This permit shall become null and void if the work authorized by such permit is riot 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: w, Print Name: Date: i
Form Ilevised Oct 2010
Fort` Collins
Site Address: 363 BANNOCK ST
Job Valuation: $89.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1202595
Issued Full: 05/15/2012
Permit Type: Residential Sprinkler
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 05/15/2012 $25.00 MARK STOCK CC
Receipt issued: 05/15/2012 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 05/15/2012
TOTAL FEES: $25.00 $25.00
TOTAL BALANCE DUE AS OF 05/1512012:
Amount Due
$0.00
$0.00
0.00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010