HomeMy WebLinkAbout600 LOCUST GROVE DR - PERMITS - 3/20/20136rt
Site Address: 600 LOCUST GROVE DR
Job Valuation: 2$ 00.00 Category: Residential
Owner: IBSEN MARK D/CORY P
600 LOCUST GROVE DR
FORT COLLINS, CO 80521-3042
Zoning: Frontsetback:
Rear setback:
Community Development &.Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1301224
Issued Full: 03/20/2013
Permit Type: Residential Sprinkler
Phone: 303-519-4935
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type:
Stock plan options:
Basement sq ft:
Contractor: License M Supervisor cert#:
Phone:
Subcontractor(s) Phone License Number
7V�s
Work Descrintion_ Installation of backflow device for residential pro�stallation of backflow device requir s certified
backflow test results. /-
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections:
TOTAL FEES PAID AS OF 03/20/13: $29.45 Payment method: Check 1070
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: lbSgf/1 Date: '� - U - l S
I Form Revised Oct 2010
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Site Address: 600 LOCUST GROVE DR
Job Valuation: $200.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK# 1070 03/20/2013 $29.45
Receipt issued: 03/20/2013 Total Paid to Date: $29.45
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $3.85
County Sales/Use Tax 100.217030 $0.60
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
i
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1301224
Issued Full: 03/20/2013
Permit Type: Residential Sprinkler
Comments
Pay by Cory Ibsen check # 1070
Amount Paid Date Paid Amount Due
$3.85 03/20/2013 $0.00
$0.60 03/20/2013 $0.00
$25.00 03/20/2013 $0.00
$29.45 $29.45
TOTAL BALANCE DUE AS OF 03/20/2013
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct 2010