HomeMy WebLinkAbout3424 Oregon Trl - Permits/Gas - Log, Line, Pipe - 12/04/2018City of
F6rt
,Collins
Site Address: 3424 OREGON TRL
Job Valuation: $3,417.40 Category: Residential
Owner: GALVIN JUNE L
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1810524
Issued Full: 12/04/2018
Permit Type: Residential Gas Log
3424 OREGON TRL
FORT COLLINS, CO 80526-2572 Phone: 970-420-4488
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
Subcontractor7sl^ _
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: FP-1815
Phone: 970-498-9679
,- '-Phone j
Basement sq ft:
Supervisor cert#:
License Number
Work Description: Install a Heat & Glo Supreme 130C direct,vent gas insert rt, -Rdn new gas line from meter to inseexposed on
exterior of home. Connect to 110yoIt power in fireplace,-
_
SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: hftp://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 406 204
TOTAL FEES PAID AS OF 12104/18: $100.18 Payment method: Credit Card 2059
`* Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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: Date: l Z- - q 1 U
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 3424 OREGON TRL
Job Valuation: $3,417.40 Category: 'Residential
Transactions
Method Check Number Date Paid
Credit Card CK# 2059 12/04/2018
Receipt issued: 12/04/2018 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
Amount Paid
$100.18
$100.18
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Comments
Building Permit #: B1810624
Issued Full: 12/04/2018
Permit Type: Residential Gas Log
Fee Amount
Amount Paid
$65.78
$65.78
$9.40
$9.40
$25.00
$25.00
TOTAL FEES: $100.18 $100.18
Date Paid
Amount Due
12/04/2018
$0.00
12/04/2018
$0.00
12/04/2018
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12104/2018: 0.00
L
Fee Amounts are valid for date of this document only. Fees subject to change without notice.