HomeMy WebLinkAbout919 COULTER ST - PERMITS - 4/20/2018[ins
Site Address: 919 COULTERST
Job Valuation: $3,688.00 Category: Residential
Owner: LACY SARAH L
919 COULTER ST
FORT COLLINS, CO 80524-2125
Zoning: Frontsetback:
unity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1802791
Issued Full: 04/20/2018
Permit Type: Residential Fireplace
Phone: 970-430-9900
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Rear setback:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: QUALITY ENERGY INSTALLS
PO BOX 272715
FORT COLLINS, CO 80527
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
Basement sq ft:
License #: FP-1649 Supervisor cert #:
Phone: 970-690-5969
Subcontractor(s) Phone License Number
Work Description: Installation of wood burning insert in existing fireplace: Enviro 1200 Venice, on EPA approved list.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 205
TOTAL FEES PAID AS OF 04/20/18: $106.13 Payment method: Check 10105
** 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 Stale 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: 41, C y5 Date: ( zo — u
Form Revised Oct 2010
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Site Address: 919 COULTER ST
Job Valuation: $3,688.00 Category: Residential
Transactions
Check CK# 10105 04/20/2018 $106.13
Receipt issued: 04/20/2018 Total Paid to Date: $106.13
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $70.99
County Sales/Use Tax 100.217030 $10.14
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1802191
Issued Full: 04/20/2018
Permit Type: Residential Fireplace
Comments
Quality Energy Installations Inc. paid by CK#10105
Amount Paid Date Paid Amount Due
$70.99 04/20/2018 $0.00
$10.14 04/20/2018 $0.00
$25.00 04/20/2018 $0.00
TOTAL FEES: $106.13 $106.13
TOTAL BALANCE DUE AS OF 04/20/2018:
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010