HomeMy WebLinkAbout2028 EVERGREEN DR - PERMITS - 3/14/2018Ity of
F6rt Collins
Site Address: 2028 EVERGREEN DR
Job Valuation: $4,379 00 Category: Residential
Owner: HANSEN JAMES E
2028 EVERGREEN DR
FORT COLLINS, CO 80521-4346
Zoning: Front setback
Minor Amend #
Zoning district
Legal: Subdivision/PUD
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #: B1801595
Issued Full: 03/14/2018
Permit Type: Residential Gas Log
Phone 970- 49-3 3248
Rear setback Right setback Left setback
Plat File # ZBA Case #
RL - LOW DENSITY RESIDENTIAL DISTRICT
Code: Res sq ft
Com sq ft
# of stories
Occ Group
Fire Sprklr
Stock plan #
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
Contractor: CLEAN SWEEP (A); L-LC ' a
6346 W 10th St
( License # FP-1250 Supervisor cert #
GREELEY, CO 180634 _ I s Phone 970-353-5145
Subcontractors) � Phone License Number
� El
I
Work Description Install a Regen6y-LRI6E gas insert in existing fireplace
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I 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 03/14/18: $121.34 Payment method: Credit Card 7305
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authonzed to perform the proposed work on the property descnbed 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 rfthe work authonzed 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 2010
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rfCollins
Address: 2028 EVERGREEN DR
Valuation: $4,379 00 Category: Residential
Method Check Number Date Paid Amount Paid
Credit Card CK# 7305 03/14/2018 $121 34
Receipt issued: 03/14/2018 Total Paid to Date: $121 34
Fee Description Account Code Fee Amount
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $25 1000 422010
.po-F au
$12 04
$25 00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: ` B1801595
Issued Full: 03/14/2018
Permit Type: Residential Gas Log
Comments
Paid by phone
Amount Paid Date Paid Amount Due
$84 30 03/14/2018 $0 00
$12 04 03/14/2018 $0 00
$25 00 03/14/2018 $0 00
TOTAL FEES: $121.34 $121.34 $0.00
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/ TOTAL' BALANCE DUE AS OF 03/14/2018: 0.00
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X'%:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.