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HomeMy WebLinkAbout628 ENDICOTT ST - PERMITS - 9/8/2010�t Collins Site Address 628 ENDICOTT ST Job Valuation $2,400 00 Category Residential Owner KATES CHRISTIAN S 628 ENDICOTT ST FORT COLLINS CO 80524 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 fax Budding Permit # B1005701 Issued Full 09/08/2010 Permit Type Residential Fireplace Phone 970 988 1576 Zoning Front setback Rear setback Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district NCM NEIGHBORHOOD CONSERVATION MEDIUM DENSITY DISTRICT Legal Subdivision/PUD Code Res sq ft # of stories Fire Sprklr Contractor Com sq ft Occ Group Stock plan # Filing # Lot # Block # Ind sq ft Const Type _ Stock plan options QUALITY ENERGY INSTALLS License # FP 1649 PO BOX 272715 l r Phone 970 690 5969 NS 80527 Phone no X1-- � Basement sq ft Supervisor cart # 3 Work Description INSTALLATION OF JOTUL F100 NORDIC�QT WOOD STOVE IN LIVINGROOM EPA APPROVED INSTALL PER MANUFACTURE; RsT�ALKTION REQUIREMENTS Z SCHEDULE INSPECTIONS " By Phone 221.6769 ' By Web http //aaweb fcgov com/CitizenAccess" Inspections FP TOTAL FEES PAID AS OF 09/08/10 $60 60 Payment method Check 119 Fee Detall Displayed on Nest Page As a condition for the issuance of a pemut, I hereby declare that I am the owneror owner's agent au0im¢ed to peftin the pmpmed Y"kon the properly described herein I agree to comply with all the nxluveinents contained herein and City ordinances and State laws assoaated with sudi work I understand that such pentlit may be revoked in the event that msuance was based on ahcorred mlomiahon This penrd shall beconhe null and void if the work autlwrmed by such pertM is not ccmmenced suspended abandoned or not inspected within 180 days from the date of such paint. Signature �� 4 el, - Print Name iLZS 14 &TC $ Date $ I D Form Revised May 2010 Fof Site Address 628 ENDICOTT ST Job Valuation $2,400 00 Category Residential Transactions Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 fax Building Permit # B1005701 Issued Full 09/08/2010 Permit Type Residential Fireplace Method Check Number Date Paid Amount Paid Comments Check CK # 119 09/08/2010 $60 60 PAID BY CHRISTIAN KATES CK #119 Receipt issued 09/08/2010 Total Paid to Date $60 60 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $36 00 $36 00 09/08/2010 $0 00 County Sales/Use Tax 100 217030 $9 60 $9 60 09/08/2010 $0 00 Permit Flat Fee w/o Subs $15 1000 422010 $15 00 $15 00 09/08/2010 $0 00 TOTAL FEES $60 60 $60 60 $0 00 nr� � Y�V7 TOTAL BALANCE DUE AS OF 09/08/2010 0 00 Lj ^ # LJ rA n