HomeMy WebLinkAbout3015 Old Dominion Ct - Permits/Gas - Log, Line, Pipe - 07/02/2018F16'art
City of Community Development & Neighborhood Services
Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B1805131
Issued Full: 07/02/2018
Permit Type: Residential Plumbing
Site Address: 3015 OLD DOMINION CT
Job Valuation: $1,160.00 Category: Residential
Owner: WAHL ADAM J/LINDSAY M
3015 OLD DOMINION CT
FORT COLLINS, CO 80528-9129 Phone: 970-213-0624
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:
Filing #: Lot #: 7 Block #: 2
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: GAS CONNECTION, INC., THE
11975 COLMANS WAY
BROOMFIELD, CO 80020
Subcontractor(s
Gas Piping: GAS CONNECTION, INC., THE �
Work Description: Installation of gas line for gas grill.
License #: FG-1714
Phone:303-466-4206
Supervisor cert#:
License Number
FG-1714
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II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
IlPossible Inspections Required: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 07/02/18: $69.77 Payment method: Check 108775
" 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.
Signature . Print Name: Date: I I O
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 3015 OLD DOMINION CT
Job Valuation: $1,160.00 Category:. Residential
Transactions
Method Check Number Date Paid
Check CK # 108775 07/02/2018
Receipt issued: 07/02/2018 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
TOTAL FEES:
Amount Paid
$69.77
$69.77
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
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Building Permit #: B1805131
Issued Full: 07/02/2018
Permit Type: Residential Plumbing
Fee Amount Amount Paid Date Paid
$44.25 $44.25 07/02/2018
$22.33 $22.33 07/02/2018
$3.19 $3.19 07/02/2018
$69.77 $69.77
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS - OF 07/02/2018: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.