HomeMy WebLinkAbout369 Stout St - Permits/Sprinkler - 02/21/2017City of
F6rt Collins
Site Address: 369 STOUT ST
Job Valuation: $150.00 Category: Residential
Owner: BLANTON HEATH W
369 STOUT ST
FORT COLLINS, CO 80524-0000
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700820
Issued Full: 02/21/2017
Permit Type: Residential Plumbing
Phone: 970-674-1109
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: 11 Block #: 1
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
Contractor: INDEPENDENT PLMBG,SOL
1611 E Lincoln Ave Unit A=; OLD
FORT COLLINS, C080524Subcontractor(s)�
Plumbing: INDEPENDENT PLMBG SOL
Ir
(LO)
Work Description: Backflow Preventer.___
License #: MP-610 Supervisor cert#:
Phone: 970-566-1377
License Number
MP-610Iq
II SCHEDULE INSPECTIONS: ••* By Phone: 970-221-6769 *** By Web: hnp://www.fcgov.com/CitizenAccess
.""By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile 11
RP GL UGP FNE FNM FNP
TOTAL FEES PAID AS OF 02/21/17: $28.38 Payment method: Check 1478
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.
Signature: Print Name: d— /'�Date: 2
Form Revised Oct 2010
F___fCollins
Site Address: 369 STOUT ST
Job Valuation: $150.00 Category: Residential
Transactions
Check CK# 1478 02/21/2017
Receipt issued: 02/21/2017 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Amount Paid
$28.38
$28.38
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700820
Issued Full: 02121/2017
Permit Type: Residential Plumbing
Comments
Paid by Hartford Homes check #1478
Fee Amount Amount Paid Date Paid Amount Due
$25.00 $25.00 02/21/2017 $0.00
$2.89 $2.89 02/21/2017
$0.49 $0.49 02/21/2017
TOTAL FEES: $28.38
�❑ r
OTAL B
O _
$28.38
$0.00
$0.00
$0.00
CE DUE AS -OF 02121/2017: 0.00
O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.