HomeMy WebLinkAbout4542 Maxwell Dr - Permits/Gas - Log, Line, Pipe - 04/07/2015rt Collins
Site Address: 4542 MAXWELL DR
Job Valuation: $1,000.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit#: B1502312
Issued Full: 04/07/2016
Permit Type: Residential Gas Log
Owner: DOCKERY WINONA H/JAMES 0
4542 MAXWELL DR
FORT COLLINS, CO 80525 Phone: 970-566-0860
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: HAHN PLUMBING & HEATING
130 CHESTNUTST
FORT COLLINS, CO 80524
Subcontractors
Plumbing: HAHN PLUMBIN\G &.HrEATI G'
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1.
Work Description: Running new gas line from the meter
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: MP-15
Phone: 970-484-7668
and one future range
Supervisor cert#:
License Number
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Insoections: LG GL '
TOTAL FEES PAID AS OF 04/07115: $47.50 Payment method: Trust Account
** 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 become 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:
Print Name:
Date:
Form Revised Oct 2010
art Collins
Site Address: 4542 MAXWELL DR
Job Valuation: $1,000.00 Category: Residential
Transactions
Trust Account 04/07/2015 $47.50
Receipt issued: 04/07/2015 Total Paid to Date: $47.50
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $19.25
County Sales/Use Tax 100.217030 $3.25
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
97o.221.676o 970.224.6134 -fax
Building Permit#: B1502312
Issued Full: 04/0712016
Permit Type: Residential Gas Log
Amount Paid Date Paid Amount Due
$19.25 04/07/2015 $0.00
$3.25 04/07/2015 $0.00
$25.00 04/07/2015 $0.00
$47.60 $47.50
$0.00
TOTAL BALANCE DUE AS OF 04/07/2015: 0-00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.