HomeMy WebLinkAbout810 E MYRTLE ST - PERMITS - 10/14/2011of
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Site Address: 810E MYRTLE ST
Job Valuation: $625.00 Category: Residential
Owner: SULLIVAN LAUREN A
810 E MYRTLE ST
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109030
Issued Full: 10/14/2011
Permit Type: Residential Plumbing
Phone:970-449-2395
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: Filing #: Lot #: Block #:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ Group:
Fire Sprklr:
Stock plan #:
Contractor: DPH, INC
1321 HEARTHFIRE CT
FORT COLLINS, CO 80524
Subcontractors)
Plumbing: i DPH, INC,
r
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-434
Phone: 970-567-3311
Phone
970-567-3311
Basement sq ft:
Supervisor cert #:
License Number
MP 434
Work Description: REPLACE GALVANIZED WATER _SERVICE LINE -WITH NEW PEX LINE. EXCAVATION ON PRIVATE.
PROPERTY ONLY.—
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: RP GL FNP UGP FNM FNE
TOTAL FEES PAID AS OF 10/14/11: $29.55 Payment method: Credit Card
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit I hereby declare that I am the owneror owners agent, authortzed 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: &,gg J/:�/ Print Name: M,4,Z9_ 1)A-UF,f fM Date: 10 -1q -//
114- Form Revised Oct2010
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t� Collins
Site Address: 810 E MYRTLE ST
Job Valuation: $625.00 Category: Residential
Transactions
Credit Card 10/14/2011 $29.55
Receipt issued: 10/14/2011 Total Paid to Date: $29.55
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $15.00
Subs
City Sales/Use Tax 251.122030 $12.05
County Sales/Use Tax 100.217030 $2.50
TOTAL FEES:
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109030
Issued Full: 10/14/2011
Permit Type: Residential Plumbing
Comments
PAID BY MARK DAUGAARD - DPH, INC CREDIT CARD.
Amount Paid Date Paid Amount Due
$15.00 10/14/2011 $0.00
$12.05 10/14/2011 $0.00
$2.50 10/14/2011 $0.00
$29.55 $29.55 $0.00
TOTAL_ BALANCE DUE AS,OF 10/14/2011: L1.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010