HomeMy WebLinkAbout921 W OAK ST - PERMITS - 8/28/2018F�.�rfCollins
Site Address: 921 W OAK ST
Job Valuation: $7,078.26 Category: Residential
Owner: DAVIES ANNE MARIE
921 W OAK ST
FORT COLLINS, CO 80521-2515
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1807036
Issued Full: 08/28/2018
Permit Type: Residential Gas Log
Phone: 303-981-3966
Zoning: Front setback: Rear setback: 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: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE'
FORT COLLINS, CO 80524
Subcontractor(s)__--__l
Electrical: PROLECTRIC INC —!
Gas Piping: WESTERN FIREPLACE SUPPLY1
Work Description: Provide and iristall fireplace Xtrordinair:
fireplace with required shutoff on right side of•enclosure= Re
�__ _.._ __ - - ` s
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: FG-1816
Phone: 970-498-9679
Phone
970=222-4740
970-498-(�----�
at vent -gas fireplace. Run new gas line from•
behind fireplace and wire 110 volt power to
Basement sq ft:
Supervisor cert#:
License Number
ME-444
���FG-1816
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***B Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 406 204
TOTAL FEES PAID AS OF 08/28/18: 180. 3 Payment method: Credit Card 2069
'* 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 assodated 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.
Print Name: G ^ Date:
%- z.- IS
Forth Revised Oct 2010
rfCollins
Site Address: 921 W OAK ST
Job Valuation: $7,078.26 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 2059 08/28/2018 $180.73
Receipt issued: 08/28/2018 Total Paid to Date: $180.73
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $136.26
County Sales/Use Tax 100.217030 $19.47
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1807036
Issued Full: 08/2812018
Permit Type: Residential Gas Log
R-71 IT, M M,
Amount Paid Date Paid Amount Due
$136.26 08/28/2018 $0.00
$19.47 08/28/2018 $0.00
$25.00 08/28/2018 $0.00
TOTAL FEES: $180.73 $180.73 $0.00
'-TOTAL BALANCE DUE AS OF 08/28/2018:
12.0-0
it i
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form