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HomeMy WebLinkAbout1915 Mackinac St - Permits/Sprinkler - 05/15/2012of ,F`ort` Collins Site Address: 1915 MACKINAC ST Job Valuation: $89.00 Category: Residential Owner: ENCORE HOMES LLC Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1202589 Issued Full: 05/15/2012 Permit Type: Residential Sprinkler 1215 W ASH ST STE A WINDSOR, CO 80550 Phone: Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Filing#: Lot#: 1 Block#: 7 Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan M Stock plan options: Contractor: License M Supervisor cert#: Phone: Subcontractor(s) Phone License Number Plumbing: GONZALES PLUMBING 970-2030682 MP-503 Work Descriotion: INSTALLATION OF BACKFLOW DEVICE FOR RESIDENTIAL SPRINKLER SYSTEM. PROVIDE , REQUIRED BACKFLOW TEST•RESULTS TO NORM MILL WITH THE CITY OF FORT COLLINS UTILITIES DEPARTMENT. SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amcal Inspections: 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 peril 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 intoned infonmabon. 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 reauired within 15 feet of each bedroom entrance. Signature: a Print Name: .AWL!�—� Date: Form Revised Oct 2010 of ;rt� Collins Site Address: 1915 MACKINAC ST Job Valuation: $89.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Credit Card 05/15/2012 $25.00 Receipt issued: 05/15/2012 Total Paid to Date: $25.00 Fee Description Account Code Fee Amount Permit Flat Fee w/o Subs $25 1000.422010 $25.00 TOTAL FEES: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -,% Building Permit #: B1202589 Issued Full: 05/15/2012 Permit Type: Residential Sprinkler Comments MARK STOCK CC Amount Paid Date Paid $25.00 05/15/2012 $25.00 $25.00 TOTAL BALANCE DUE AS OF 05/15/2012: Amount Due $0.00 $0.00 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010