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HomeMy WebLinkAbout1019 Laporte Ave - Permits/Sprinkler - 06/07/2012 (2)art Collins Site Address: 1019 LAPORTE AVE Job Valuation: $76.00 Category: Residential Owner: ALDRICH THEODORE L/SOPHIA L PO BOX 271102 FORT COLLINS, CO 80527-1102 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 990.224.6134-fax Building Permit #: B1203426 Issued Full: 06/07/2012 Permit Type: Residential Sprinkler Phone: 970-226-3255 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: # of stories: Fire Sprklr: Corn sq ft: Occ Group: Stock plan #: Filing #: Lot #: Block #: Ind sq ft: _ ConstType: Stock plan options: Contractor: License #: /777 Phone: Subcontractor'(s)� ` � Roofing: 5 STAR ROOFING & HOME IMPR O Fr WoOcri tion: INSTALL BACKF_L_OW DEVICE FOP Phone 970�63'-0110 O Basement sq ft: Supervisor cart #: License Number R-1969 SCHEDULE INSPECTIONS: "' By Phone: 970-221-6769 •** By Web: http://amos.fcgov.com/CitizenAccess ***B Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/ Ins actions: TOTAL FEES PAID AS OF 06/07/12: $26.76 Payment method: Cash Fee DeWl Displayed on Next Page Asa con diibon for the issuance of a permit I hereby declare that I am the owneror owner's agent, authorized to perfam 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 ink mration. This permit shall become null and void N 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:. ► f,,, r/nt Name: `:12j,a , 4 Date: =�-6 Form Revised Oct 2010 arof t Collins Site Address: 1019 LAPORTE AVE Job Valuation: $76.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit M B1203426 Issued Full: 06/07/2012 Permit Type: Residential Sprinkler Transactions Method Check Number Date Paid Cash 06/07/2012 Amount Paid $26.76 Comments PAID IN CASH BY THEODORE ALDRICH. Receipt issued: 06/07/2012 Total Paid to Date: $26.76 Fee Description Account Code Fee Amount Amount Paid Date Paid City Sales/Use Tax 251.122030 $1.46 $1.46 06/07/2012 County Sales/Use Tax 100.217030 $0.30 $0.30 06/07/2012 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 06/07/2012 TOTAL FEES: $26.76. $26.76 ��-J - r Amount Due $0.00 $0.00 $0.00 $0.00 %TOTAL BALANCE DUE AS OF 06/07/2012: 0.00 777777771 i Si ii3 RE t!Y I k xi# i