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HomeMy WebLinkAbout4703 Prairie Vista Dr - Permits/Gas - Log, Line, Pipe - 04/06/2015F6rt Collins Site Address: 4703 PRAIRIE VISTA DR Job Valuation: $5,500.00 Category: Residential Owner: SAVAGE ANNETTE M 4703 PRAIRIE VISTA DR FORT COLLINS, CO 80526 Zoning: Front setback: Rear setback: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 97o.22i.676o 970.224.6134 -.fax Building Permit#: B1502217 Issued Full: 04/06/2015 Permit Type: Residential Gas Log Phone: 303-916-5999 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: 1 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: KEM HOMES CONSTRUCTION, INC. License #: C2-24 Supervisor cert#: 7352 GREENRIDGE ROAD_A-6 , , WINDSOR, CO 80550 . , I I Phone: 970-663-9430 Subcontractors) ail ''- .Phone ! License Number Lj Work Description: Install gas fireplace..in-walkout basement bathroom - Kingsmari•Marquis Serenity: sman Bentley 39 ZCV39 and 1 gas at the same time. SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: LG GL TOTAL FEES PAID AS OF 04/06/15: $148.75 Payment method: Credit Card 2730 *' 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, 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: V /44/jt4� Form Revised Oct 2010 arof t Collins Site Address: 4703 PRAIRIE VISTA DR Job Valuation: $5,500.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1502217 Issued Full: 04/06/2015 Permit Type: Residential Gas Log Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK#2730 04/06/2015 $148.75 William Gurski CC Receipt issued: 04/06/2015 Total Paid to Date: $148.75 Fee Description Account Code Fee Amount Amount Paid City Sales/Use Tax 251.122030 $105.87 $105.87 County Sales/Use Tax 100.217030 $17.88 $17.88 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 TOTAL FEES: $148.75 $148.75 Date Paid Amount Due 04/06/2015 $0.00 04/06/2015 $0.00 04/06/2015 $0.00 $0.00 TOTAL BALANCE DUE AS OF 04/06/2015: 0.00 r "`,r.. 9 t Fee Amounts are valid for date of this document only. Fees subject to change without notice.