HomeMy WebLinkAbout121 S WHITCOMB ST - PERMITS - 3/2/2020�.F�ort Collins
Site Address: 121 S WHITCOMB ST
Job Valuation: $970.00 Category: Residential
Owner: COSTLOW DAVID/CATHERINE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2001771
Issued Full: 03/02/2020
Permit Type: Residential Plumbing
121 S WHITCOMB ST
FORT COLLINS, CO 80521-2620 Phone: 970-218-9239
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: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: GAS CONNECTION, INC., THE License #: FG-1714 Supervisor cert#:
11975 COLMANS WAY
BROOMFIELD, CO 80020 Phone: 303-466-4206
Subcontractor(s).---. __i `___Phone I License Number
Gas Piping: GAS CONNECTION; INC., THE-, 3M3 66-4206 j -! - FG-1714-
Work Description: Installation of 35' gas line for gas insert to be obtained on separate permit by owner.
SCHEDULE INSPECTIONS: ** via Text Message: 888406-6394 ** By Phone: 970-221-6769
— *`Online Portal: fcgov.com/CitizenAccess "Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 03/03/20: $61.30 Payment method: Check 112805
'* 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.
Signature:
Print Name:
Date:
Form Revised Oct
ty of
----FSiort Collins
Site Address: 121 S WHITCOMB ST
Job Valuation: $970.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK# 112805 03102/2020 $61.30
Receipt issued: 03/03/2020 Total Paid to Date: $61.30
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $38.75
Subs
City-Sales/Use-Tax-- 251.122030 $18.67
County Sales/Use Tax 100.217030 $3.88
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B2001771
Issued Full: 03/02/2020
Permit Type: Residential Plumbing
Comments
Amount Paid Date Paid Amount Due
$38.75 03/02/2020 $0.00
$18.67 03/02/2020 $0.00
$3.88 03/02/2020 $0.00
$61.30 $61.30
$0.00
TOTAL,BALANCE DUE AS, OF 3/03/2020:
11-00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.