HomeMy WebLinkAbout180 Circle Dr - Permits/Other - 05/30/2017F6rtCollins
Site Address: 180 CIRCLE DR
Job Valuation: $5,126 00 Category: Residential
Owner: ROBENALT MATTHEW J
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1702887
Issued Full: 06/30/2017
Permit Type: Residential Fireplace
180 CIRCLE DR
FORT COLLINS, CO 80524-4108 Phone 970-218-7661
Zoning: Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PLID
Code: Res sci ft Corn scl It
# of stories Occ Group
Fire Sprklr Stock plan #
Filing # Lot # Block #
_ Ind sci ft _
Const Type
Stock plan options
Basement scl ft
Contractor: Supervisor cert#
(; License # P
Phone
Subcontractor(sl� G % PRone License Number
v ❑
✓� '
Work Description Installation of Morso 8148 High Pedestal -Wood Stove -Okay for EPA Certification per CBO Mike Gebo-_,,','
Homeowner affidaviton file =�
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
`**By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections FP
TOTAL FEES PAID AS OF 05/30/17: $140.34 Payment method: Credit Card 5851
'* 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 maybe
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: 2A2t- Print Name: Date: J ' e3C) -PC) l
Fonn Revised Oct 2010
/**"OF�6rfCollins
Site Address: 180 CIRCLE DR
Job Valuation: $5,126 00 Category: Residential
Transactions
Method Check Number Date Paid
Credit Card CK#5851 05/30/2017
Receipt issued: 05/30/2017 Total Paid to Date
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $25 1000 422010
TOTAL FEES:
Amount Paid
$140 34
$140 34
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1702887
Issued Full: 05/30/2017
Permit Type: Residential Fireplace
Comments
Matthew Robenalt paid with CC5851
Fee Amount
Amount Paid
$98 68
$98 68
$16 66
$16 66
$25 00
$25 00
Date Paid
Amount Due
05/30/2017
$0 00
05/30/2017
$0 00
05/30/2017
$0 00
$140.34 $140.34 $0.00
%TOTAL BALANCE DUE AS OF 05/30/2017: 0.00
r/
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice