HomeMy WebLinkAbout222 JACKSON AVE - PERMITS - 3/13/2018City of
j,.F�t Collins
(Site Address: 222 JACKSON AVE
Job Valuation: $3,859.62 Category: Residential
Owner: HOGGATT DARBY LEROY
222 JACKSON AVE
FORT COLLINS, CO 80521-2445
Phone:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1801557
Issued Full: 03/13/2018
Permit Type: Residential Gas Log
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:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type: _
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: WESTERN FIREPLACE SUPPLY License #:
1408 RIVERSIDE AVE
Basement sq ft:
FP-1815 Supervisor cart#:
FORT COLLINS, CO 80524 Phone: 970-498-9679
Subcontractor(s) ` Phone License Number
Electrical: PROLECTRIC INC 970-222-4740 ME-444 .
1.
Work Description: Provide and install a fireplace Xtrordinair 32DVS direct vent gas insert. Wire a 110 volt outlet into fireplace from
power in basement. e
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 406 204
TOTAL FEES PAID AS OF 03/13/18: $109.91 Payment method: Credit Card 2059
*` Fee Detail Displayed on Next Page
As a condition forthe issuance of a permit, I hereby declare that I am the owner or owner's 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.
Signat re: Print Name:
Date: 3 - 1-3- (D
Form Revised Oct 2010
No Text