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HomeMy WebLinkAbout512 Yuma Ct - Permits/Gas - Log, Line, Pipe - 04/27/2017fins Site Address: 512 YUMA CT Job Valuation: $5,200.00 Category: Residential Owner: WELLS DON E/EVELYN P 3448 LAREDO LN UNIT C FORT COLLINS, CO 80526 Zoning: Front setback: Rear setback: munity Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1702237 Issued Full: 04/27/2017 Permit Type: Residential Gas Log Phone: 970-222-4997 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: # of stories: Fire Sprklr: Filing #: Lot M Block #: Com sq ft: Ind sq ft: Basement sq ft: Occ Group: Const Type: Stock plan #: Stock plan options: Contractor: STOVE SHOP INC License #: FP-1957 Supervisor cert #: 200 N US HWY 287 ' FORT COLLINS, CO 80524 Phone: 970-493-3344 Subcontractor(s) Phone License Number Work Description: Remove existing gas fireplace ins .replac�,new"unit. Install per manufacturer's specifications. �i II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 •** By Web: hftp://www.fcgov.com/CitizenAccess II ***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile Insaections: LG GL TOTAL FEES PAID AS OF 04/27/17: $142.00 Payment method: Credit Card 4691 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 amply 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 pemdt. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signaturg 41 Q 4 �� C� p�o Print Name: 1 lit y, y A) u) L � � 5 Date: / 2 Form Revised Oct 2010 FrfCollins Site Address: 512 YUMA CT Job Valuation: $5,200.00 Category: Residential Transactions Credit Card CK # 4691 04/27/2017 $142.00 Receipt issued: 04/27/2017 Total Paid to Date: $142.00 Fee Description Account Code Fee Amount City Sales/Use Tax 251.122030 $100.10 County Sales/Use Tax 100.217030 $16.90 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 ty Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1702237 Issued Full: 04/27/2017 Permit Type: Residential Gas Log Comments EVELYN P WELLS paid with CC Amount Paid Date Paid Amount Due $100.10 04/27/2017 $0.00 $16.90 04/27/2017 $0.00 $25.00 04/27/2017 $0.00 TOTAL FEES: $142.00 $142.00 $0.00 TOTAL BALANCE DUE AS OF 04/27/2017: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.