HomeMy WebLinkAbout5340 Fossil Creek Dr - Permits/Gas - Log, Line, Pipe - 01/18/2013[tins
Site Address: 5340 FOSSIL CREEK DR
Job Valuation: $3,500.00 Category: Residential
Owner: ENGLE JOHN DARLING
5340 FOSSIL CREEK DR
FORT COLLINS, CO 80526-4332
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1300172
Issued Full: 01/18/2013
Permit Type: Residential Gas Log
Phone: 970-223-4841
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
Subcontractors)----i
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Work Description: Install 34 DVL direct vent gas firepk
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type:
Stock plan options:
Basement sq ft:
License #: FP-1815 Supervisor cart #:
Phone: 970-498-9679
Phone n License Number
isting gas line and electrica
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Infections: GL LG
TOTAL FEES PAID AS OF 01/18/13: $25.00 Payment method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a peril, 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 'rfthe 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.
Name:�� Date:
Form Revised Oct 2010
city of
F6ft Collins
Site Address: 5340 FOSSIL CREEK DR
Job Valuation: $3,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 01/18/2013 $25.00
Receipt issued: 01/18/2013 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
281 N. CollegeAue Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1300172
Issued Full: 01/18/2013
Permit Type: Residential Gas Log
Comments
Pay by Chris Tenan credit card
Amount Paid Date Paid Amount Due
$25.00 01/18/2013 $0.00
$25.00 $25.00
$0.00
TOTAL BALANCE DUE AS OF 01/18/2013: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Fonn Revised Oct 2010