HomeMy WebLinkAbout630 W OAK ST - PERMITS - 5/23/2016City ®f
Fort Collins
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Site Address: 630 W OAK ST
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Job Valuation: $1,000.00 Category: Residential
nity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602719
Issued Full: 05/23/2016
Permit Type: Residential Mechanical
Owner: HADLOCK SCOTT B
i' 1019 NORFOLK PL
LOVELAND, CO 80538
Phone: 970-817-1121
i I Z1.oning: Front setback:
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Rear setback:
Right setback: Left setback:
Minor Amend #:
Plat File #:
ZBA Case #:
j. Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
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Legal: Subdivision/PUD:
Filing #: Lot M Block #:
�I Code: Res sq ft:
Com sq ft:
Ind sq ft: Basement sq ft:
# of stories:
Occ Group:
Const Type:
r j Fire Sprklr:
Stock plan #:
Stock plan options:
Contractor: LONGS PEAK ENERGY CONSERVATION
PO BOX 471
BOULDER, CO 80306
Subcontractor(s)
Mechanical: LONGS PEAK ENERGY CONSERVA
License #: H-1422 Supervisor cert #:
Phone: 720-864-6403
Work Description: Install 25feet flue..liner for water heater and a 5inch flue. -liner for the furnace.
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.2om/CitizenAccess/mobile
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/23/16: $25.OQ Payment method: Credit Card 0870
** 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.
Signatures I _ Print Name: lo� n Date::5 3
Form Revised Oct 2010
Gity of community veveiopment &, lveignborrzooa Services
281 N. College Ave Fort Collins, CO 80$22
F6rt Collins 970.221.676 o 970.224.6134 -fax
Building Permit #: B1602719
Issued Full: 05/23/2016
Permit Type: Residential Mechanical
Site Address: 630 W OAK ST
Job Valuation: $1,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#0870 05/23/2016 $25.00
Receipt issued: 05/23/2016 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 05/23/2016 $0.00
TOTAL FEES: $26.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF 05/23/2016: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010