HomeMy WebLinkAbout519 W Mountain Ave - Permits/Gas - Log, Line, Pipe - 05/16/2016,lrof
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Site Address: 519 W MOUNTAIN AVE
Job Valuation: $3,500.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602597
Issued Full: 05/16/2016
Permit Type: Residential Gas Log
Owner: KELLY CHRISTOPHER JAMES/ELLEN PHALEN
519 W MOUNTAIN AVE
FORT COLLINS, CO 80521 Phone: 703-819-5299
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert#:
Phone:
Work Description: Run gas line to fire pit and fireplace. Homeowner aff on file form permit B1600685
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcAov.com/CitizenAccess/mobile
Inspections: LG GL
TOTAL FEES PAID AS OF 05/16/16: $103.75 Payment method: Credit Card 8481
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, 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 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 ot each bedroom entrance.
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Site Address: 519 W MOUNTAIN AVE
I Job Valuation: $3,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK # 8481 05/16/2016 $103.75
Receipt issued: 05/16/2016 Total Paid to Date: $103.75
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $67.38
County Sales/Use Tax 100.217030 $11.37
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1602597
Issued Full: 06/16/2016
Permit Type: Residential Gas Log
Comments
Christopher Kelly CC
Amount Paid Date Paid Amount Due
$67.38 05/16/2016 $0.00
$11.37 05/16/2016 $0.00
$25.00 05/16/2016 $0.00
TOTAL FEES: $103.76 $103.75
$0.00
TOTAL BALANCE DUE AS OF 05/16/2016: 0.00
:
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.