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HomeMy WebLinkAbout512 S Grant Ave - Permits/Water and or Sewer - 08/23/2017Ft Collins Site Address: 512 S GRANT AVE Job Valuation: $500.00 Category: Residential Owner: BEACH CHERYL A 512 S GRANT AVE. FORT COLLINS, CO 80521 Zoning: Front setback: Rear setback: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134-fax Building Permit #: B1704809 Issued Full: 08/23/2017 Permit Type: Residential Plumbing Phone:719-330-2078 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: ' Filing #: Lot #: Block #: Ind sq ft: Const Type: Stock plan options: License #: nPhone: Basement sq ft: Supervisor cent #: Subcontractors) l I PFione ❑ License Number U Work Description: Replace sewer line. Homeowner affidaviton file. SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: RP GL UGP FNE FNM FNP TOTAL FEES PAID AS OF 08/23/17: $36.24 Payment method: Check 1035 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 assodated 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 of each bedroom entrance. Signature Print Name: a Date: T -- Form Reiil6ad Oct 2010 F_'_r_'f Collins Site Address: 512 S GRANT AVE Job Valuation: $500.00 -Category: Residential Transactions Community Development & Neighborhood Services 28i N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1704809 Issued Full: 08/23/2017 Permit Type: Residential Plumbing Method Check Number Date Paid Amount Paid Comments Check CK# 1035 08/23/2017 $36.24 CHERYL A BEACH paid with check #1035 Receipt issued: 08/23/2017 Total Paid to Date: $36.24 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000.422010 $25.00 $25.00 08/23/2017 $0.00 Subs City Sales/Use Tax 251.122030 $9.62 $9.62 08/23/2017 $0.00 County Sales/Use Tax 100.217030 $1.62 $1.62 08/23/2017 $0.00 TOTAL FEES: $324 OT0T�AL B $36.24 $0.00 CE DUE AS -OF 08/23/2017: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.