HomeMy WebLinkAbout2161 Romney Ave - Permits/Gas - Log, Line, Pipe - 03/17/2020arof
t Collins
Site Address: 2161 ROMNEY AVE
Job Valuation: 4$ ,370.55 Category: Residential
Owner: EISEMANN JOHN D/MARIA
2161 ROMNEY AVE
FORT COLLINS, CO 80526-1208
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2002369
Issued Full: 03117/2020
Permit Type: Residential Gas Log
Phone: 970-988-9325
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: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
Subcontractor(s)
Gas Piping: WESTERN FIREPLACE SUPPLY
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: FG-1816
Phone: 970-498-9679
Phone
970498-9679
Work Description: Install Heat&Glo Cosmo 135 direct vent gas insert with 70 ft of gas line.
Basement sq ft:
Supervisor cert#:
License Number
FG-1816
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 406 204
TOTAL FEES PAID AS OF 03/17/20: $126.61 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 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.
0
Signature: Print Name: Date:
Form Revised Oct 2010
Clt)/ Of �
Community Development&Neighborhood Seruices
Fort Coll i ns 281 N. CollegeAue�Fort Collins,CO So522 �
970.221.6�60 970.224.6i34-f�
Building Permit#: 62002369
Issued Full: 03/17/2020
Permit Type: Residential Gas Log
Site Address: 2161 ROMNEY AVE
Job Valuation: 4 370.55 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#2059 03/17/2020 $126.61
Receipt issued: 03/17/2020 Total Paid to Date: . $126.61
Fee Descriation Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $84.13 $84.13 03/17/2020 $0.00
County Sales/Use Tax 100.217030 $17.48 $17.48 03/17/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 03/17/2020 $0.00
TOTAL FEES: $126.61 $126.61 $0.00
TOTAL BALANCE DUE AS OF 03/17/2020: 0.00
�
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revlsed Oct 2010