HomeMy WebLinkAbout921 W OAK ST - PERMITS - 3/25/2013Clty of
�,F�ort Collins
Site Address: 921 W OAK ST
Job Valuation: $2,500.00 Category: Residential
Owner: MARTIN JAMISON PAUL
921 W OAK ST
FORT COLLINS, CO 80521-0000
Zoning: Frontsetback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1301274
Issued Full: 03/25/2013
Permit Type: Residential Mechanical
Phone:720-210-3168
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL -NEIGHBORHOOD CONSERVATION -LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprkir:
Contractor:
Subcontractor(s)___
Corn sq ft:
Occ Group:
Stock plan #:
Work Description: Afterthe fact furnace
1:1'_
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License M
Phone:
Basement sq ft:
Supervisor cert#:
/-Phone ( License Number
by h
II SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 RRR By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amo6.fcgov.com/CitizenAccess/amca/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 03/25/13: $25.00 Payment method: Check 185
" 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 daysfrom the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: L Print Name: 3[,. %f'-{„ tkNA%..rrp; Date: 3wa S/I zj
Form Revised Oct 2010
F6rt Collins
Site Address: 921 W OAK ST
Job Valuation: $2,500.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1301274
Issued Full: 03/25/2013
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 185 03/25/2013 $25.00 Pay by Jamison Martin check # 185
Receipt issued: 03/25/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 03/25/2013
TOTAL FEES:
$25.00 $25.00
TOTAL BALANCE DUE AS OF 03/26/2013:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010