HomeMy WebLinkAbout1117 Centennial Rd - Permits/Gas - Log, Line, Pipe - 09/18/2018arof
t Collins
Site Address: 1117 CENTENNIAL RD
Job Valuation: $4,000.00 Category: Residential
Owner: CHANTRY JULIE
1117 CENTENNIAL RD
FORT COLLINS, CO 80525-2353
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1808104
Issued Full: 09/18/2018
Permit Type: Residential Gas Log
Phone: 970-402-8331
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:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: WESTERN FIREPLACE. SUPPLY
1408 RIVERSIDE AVE -
FORT COLLINS; CO _80524
Filing M Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #:
Basement sq ft:
FP-1815 Supervisor cert#:
Phone: 970-498-9679
Subcontractor(s)= _ --Phone { License Number
Work Description: Homeowrier.to run-20'-gas line for new -gas place•thaf Western Fireplace will be installing. Home wo nec
affidavit on file.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 '** By Web: http://www.fcgov.com/CitizenAccess I�
'**By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Insoections Reouired: 406 204
TOTAL FEES PAID AS.OF 09/18/18: $113.00 Payment method: Credit Card 3766
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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 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.
Print Name: t Date:
Fonn Revised Oct 2010
Fart Collins
Site Address: 1117 CENTENNIAL RD
Job Valuation: $4,000.00 Category: Residential
Transactions
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1808104
Issued Full: 09/18/2018
Permit Type: Residential Gas Log
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 3756 09/18/2018
$113.00
Receipt issued: 09/18/2018 Total Paid to Date:
$113.00
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$77.00
$77.00
09/18/2018
$0.00
County Sales/Use Tax 100.217030
$11.00
$11.00
09/18/2018
$0.00
Permit Flat Fee -w/o Subs $25 1000.422010
$25.00
$25.00
09/18/2018
$0.00
TOTAL FEES:
$113.00
$113.00
$0.00
TOTAL BALANCE DUE AS OF 09/18/2018: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.