HomeMy WebLinkAbout1125 Oakmont Ct - Permits/Gas - Log, Line, Pipe - 09/28/2016r City of
Community Development & Neighborhood Services
F6r
Collins
281 N. College Ave Fort Collins, CO 80522
t970.221.676o 970.224.6134 -fax
Building Permit #: B1605679
Issued Full: 09/28/2016
Permit Type: Residential Gas Log
j Site Address: 1125 OAKMONT CT
Job Valuation: $3,313.00 Category: Residential
Owner: PETERSON THOMAS C
1125 OAKMONT CT
FORT COLLINS, CO 80525 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL 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: WESTERN FIREPLACE SUPPLY License #: FP-1815 Supervisor cert#:
1408 RIVERSIDE AVE
FORT COLLINS,. CO 80524 Phone: 970-498-9679
Subcontractor(s) Phone License Number
Electrical: PROLECTRIC,INC 970-222-4740.... ME-444..........
Work Description: Install a directvent gas insert. Connect.to-existing gas.line and wire a 110 volt power into fireplace.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: http://www.fcaov.com/CitizenAccess/mobile
Ilinspections: LG GL 11
TOTAL FEES PAID AS OF 09/28/16: $99.55 Payment method: Credit Card
** 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 properly 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.
Print Name: �'�'� S e Vnc,.., Date: L't
Form Revised Oct 2010
r
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605679
Issued Full: 09/28/2016
Permit Type: Residential Gas Log
Site Address: 1125 OAKMONT CT
Job Valuation: $3,313.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 09/28/2016 $99.55
Receipt issued: 09/28/2016 Total Paid to Date: $99.55
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $63.78 $63.78
County Sales/Use Tax 100.217030 $10.77 $10.77
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
Date Paid
Amount Due
09/28/2016
$0.00
09/28/2016
$0.00
09/28/2016
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.