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HomeMy WebLinkAbout316 S Grant Ave - Permits/Gas - Log, Line, Pipe - 08/28/2017art Collins Site Address: 316 S GRANT AVE Job Valuation: $2,000.00 Category: Residential Owner: HALE TRACY S/J KEVIN Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1704968 Issued Full: 08/28/2017 Permit Type: Residential Plumbing 140 N ROOSEVELT AVE FORT COLLINS, CO 80521 Phone: 970-829-1023 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/PUD: Code: Res sq ft: # of stories: Fire Sprklr: Corn sq ft: Occ Group: Stock plan #: Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: Contractor: FORT COLLINS HEATING & AIR 208 COMMERCE DR#4 FORT COLLINS! CO 80524 Subcontractor(s)_� Mechanical: FORT COLLINS HEAT�ING & AIR Q ,Q Work Description: Replace gas line,. - License #: H-1309 Supervisor cert#: Phone:970-484-4552 Phone License Number 970�W-4552O� ❑ H-1309 Q Q 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: RP GL UGP FNE FNM FNP TOTAL FEES PAID AS OF 08/28117: $111.25 Payment method: Trust Account Fee Detail Displayed on NW 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 Ifthe 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: t� Print Name: OtflilmC Date: g -a2 — � Z Form Revised Oct 2010 FortCollins Site Address: 316 S GRANT AVE Job Valuation: $2,000.00 Category: Residential Transactions Trust Account 08/28/2017 $111.25 Receipt issued: 08/28/2017 Total Paid to Date: $111.25 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $66.25 Subs City Sales/Use Tax 251.122030 $38.50 County Sales/Use Tax 100.217030 $6.50 TOTAL FEES: $117:25 l5 DOTAL B. cc Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1704968 Issued Full: 08/28/2017 Permit Type: Residential Plumbing Amount Paid Date Paid Amount Due $66.25 08/28/2017 $0.00 $38.50 08/28/2017 $0.00 $6.50 08/28/2017 $0.00 $111.26 $0.00 CE DUE A 08/28/2017: 1q.00 O Fee Amounts are valid for date of this document only. Fees subject to change without notice.