HomeMy WebLinkAbout1702 Brookhaven Cir W - Permits/Gas - Log, Line, Pipe - 06/22/2012Frt of
Site Address: 1702 BROOKHAVEN CIR
Job Valuation: $325.00 Category: Residential
Owner: FERRANTO, JOANNE
1702 BROOKHAVEN CIR W
FORT COLLINS, CO 80525
Zoning: Frontsetback:
Minor Amend M
Zoning district:
Legal: Subdivision/PUD:
Code: Res sq ft: _
# of stories: _
Fire Sprklr:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203802
Issued Full: 06/22/2012
Permit Type: Residential Plumbing
Phone:303-217-6946
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case M
LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Filing #: Lot #: Block #:
Com sq ft: "Ind'sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: POUDRE VALLEY -AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524!
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Subcontracto�(sl
Mechanical: POUDRE VALLEY AIR
Work Descriotion: R\NEW'GAS LINE FROM MECHANICAL
FUTURE GAS RANGE (CAPPING THE-GAS-LINFANTItrRFAnv F,
' License #: H-835 Supervisor cert#:
Phone: 970-493-2050
2050
(a 1-:1 ��
License Number
H-835
I
IN BASEMENT UPSTAIRS TO
L SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess
***By Mobile Device: http://amos.fcgov.com/CltizenAccess/amca/
Inspections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 06/22/12: $32.58 Payment method: Check 3880
** Fee Dull Displayed on Next Page
As a condition for the issuance of a permit I hereby declare that I am the owner or owners agent, auftrbmd 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 infomration. This permit shall became null and void if the work aulhor¢ed by such permit is rat commenced,
suspended, abandoned or rat inspected within 180 days from the date of such permit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: JZWAIC R4_&te:
� clun.e_ 2oi2
Form Revised Oct 2010
mCity of
/0",�
Fort Collins
Site Address: 1702 BROOKHAVEN CIR
Job Valuation: $325.00 Category: Residential
Transactions
Check CK # 3880 06/22/2012 $32.58
Receipt Issued: 06/22/2012 Total Paid to Date: $32.58
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
City Sales/Use Tax 251.122030 $6.28
County Sales/Use Tax 100.217030 $1.30
TOTAL FEES: $32.58
'7
TOTAL B
t Tv
M
Community Development& Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1203802
Issued Full: 06/22/2012
Permit Type: Residential Plumbing
Comments
PAID BY JAMES G/JOANNE L FERRANTO CK#3880
Amount Paid Date Paid Amount Due
$25.00 06/22/2012 $0.00
$6.28 06/22/2012
$1.30 06/22/2012
$32.58
$0.00
$0.00
$0.00
DE DUE AS OF 212012: 0.0-0
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