HomeMy WebLinkAbout648 HEATHER CT - PERMITS - 9/5/2018City ®f Community Development & Neighborhood Services
6 281 N. College Ave Fort Collins, CO 80522
g, 970.221.676o 970.224.6134 -fax
F6rt CoRns..
Building Permit #: B1807570
`Issued Full: 09/05/2018
Permit Type: Residential Gas Log
Site Address: 648 HEATHER'CT ,
Job Valuation::i 3 420.00 Category: Residential
Owner: OZAWA TERUTOMO/HIROKO
648 HEATHER CT
FORT COLLINS, CO 80525-2209
Zoning: Front setback:
Minor Amend #:
Zoning district:
Legal: Subdivision/PUD:
Phone: 970-481-2514
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #:
MMN -MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprkir: Stock plan #: Stock plan options:
Contractor: WESTERN FIREPLACE,SUPPLY License #: FP-1815 Supervisor cert #:
1408 RIVERSIDE AVE
FORT COLLINS, CO . 80524, Phone: 970 498-9679
Subcontractors PFione License Number
r FFP
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Work' Description: Install new gas'ihsert into wood burning,fireplac R
line from furnace in crawlspace.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess �I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
IlPossible Inspections Reauired: 406 204 11
TOTAL FEES PAID AS OF 09/05118: $100.25 Payment method: Credit Card 2590
" 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.
Sign ure: Print Name:
T�Gv� Date:
Form Revised Oct 200
Cots/ ® Community Development 8r Neighborhood Services
281N. College rive Fort Collins, CD 80522
F6 t Collins
970:22i.676o 970.224.6134"-fax
Building Permit : " 131807570
Issued Full: 09/05/2018
Permit Type: Residential Gas Log
Site Address: 648 HEATHER CT
Job Valuation: $3,420.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK#2590 09/05/2018
$100.25
Receipt issued: 09/05/2018 Total Paid to Date:
$100.25
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$65.84
$65.84
09/05/2018
$0.00
County Sales/Use Tax 100.217030
$9.41
$9.41
09/05/2018
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
09/05/2018
$0.00
TOTAL FEES: $100.25 $100.25
$0.00
TOTAL BALANCE DUE AS OF 09/05/2018: 0.00
J7
v
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010