HomeMy WebLinkAbout219 E ELIZABETH ST - PERMITS - 10/23/2019�,.�t Collins
Site Address: ' 219 E ELIZABETH ST
Job Valuation: 4 574.06 Category: Residential
2& N. College Ave Fort,Collins, CO 86522
970.221.6760 970.224.6134 -fax
Building Permit#: B1-914583
Issued-FuM " 10/23/2019
Permit Type: Residential Gas'Log
Owner: ANGLIN PALIUKATHERINE
219 E ELIZABETH ST
FORT COLLINS, CO 80524-3703
Phone: 443-253-2092
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: Corn sq ft:
Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: 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
-Subcontractor(
Phone -Ph_one License Number
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Work Description: Provide and install a Heat & Glo Escape.7.130=1FT
direct vent gas fireplace. Run new gas line from -meter to insert,
exposed on exterior of home. Required shut off will b_e.in wall
to right -side of fireplace. =«�
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 406 204
TOTAL FEES PAID AS OF 10123/19: $131.35 Payment method: Credit Card 02059
'* Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror 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 Ifthe 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: -,` r�s Date: i o 1� L
Form Revised Oct 2010
City
Community Development & Neighborhood Services
®f
Fort Collins
281 N. College Ave Fort Collins, CO 86g22
97o.221.676o 970.224.6134 -fax
Building Permit #: B1914583
Issued Full: 10/23/2019
Permit Type: Residential Gas Log
Site Address: 219 E ELIZABETH ST
Job Valuation: $4,574.06 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK#02059 10/23/2019
$131.35
Receipt issued: 10/23/2019 Total Paid to Date:
$131.35
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$88.05
$88.05 10/23/2019 $0.00
County Sales/Use Tax 100.217030
$18.30
$18.30 10/23/2019 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 10/23/2019 $0.00
TOTAL FEES:
$131.35
$131.35 $0.00
TOTAL BALANCE DUE AS OF 10/2312019: 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