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Home My WebLink About117 Yale Ave - Permits/Gas - Log, Line, Pipe - 12/02/2020Owner: JOSEPHS HAYLEY W 117 YALE AVE FORT COLLINS, CO 80525-1717 Phone: 970-219-3744 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: 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: CRAFTSMEN BUILDERS INC 319 E MAGNOLIA FORT COLLINS, CO 80524 License #: D-607 Phone: 970-416-9300 Supervisor cert #: 1241-D1 Subcontractor(s) Phone License Number Plumbing: TAFT HILL PLUMBING AND HEA 970-482-8812 MP-832 Gas Piping: WESTERN FIREPLACE SUPPLY 970-498-9679 FG-1816 Work Description: Installation of new gas fireplace and 6ft of gas line. SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 ** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile Possible Inspections Required: 406 204 TOTAL FEES PAID AS OF 12/02/20: $118.00 Payment method: Credit Card 9189 ** 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 workonthepropertydescribedherein. I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced, suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2013220 Issued Full: 12/02/2020 Permit Type: Residential Gas Log Site Address: 117 YALE AVE Job Valuation: $4,000.00 Category: Residential Signature: Print Name: Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK # 9189 12/02/2020 $118.00 Receipt issued: 12/02/2020 Total Paid to Date: $118.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $77.00 $77.00 12/02/2020 $0.00 County Sales/Use Tax 100.217030 $16.00 $16.00 12/02/2020 $0.00 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 12/02/2020 $0.00 TOTAL FEES: $118.00 $118.00 $0.00 TOTAL BALANCE DUE AS OF 12/02/2020: $0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2013220 Issued Full: 12/02/2020 Permit Type: Residential Gas Log Site Address: 117 YALE AVE Job Valuation: $4,000.00 Category: Residential Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 buildingservices@fcgov.com 970-416-2740 GAS/WOOD BURNING APPLIANCES PERMIT APPLICATION ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address ________________________________________________________________ City/State/Zip _________________________ Property Owner Information Name ______________________________________________________ Phone Number _____________________________________ Address ________________________________________________________________ City/State/Zip _________________________ RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant Value of Work Labor and Materials $ ________________________________ Scope of Work Wood/Pellet stove (required to be EPA approved) Model Name _________________________________________ Manufacturer _________________________________________ Gas Fireplace Length of extensions of gas line (if necessary) _________________________________________ Please list plumber if not completing _________________________________________ Fire Pit Additional Information (if applicable) Contractor Name ________________________________________________________________________________________________________ Address ________________________________________________________________ City/State/Zip _________________________ Phone Number ____________________________________ Email ______________________________________________________ License Number ________________________ Certificate Number ______________________________________________________ Subcontractor License (if applicable) ____________________ Subcontractor Name (if applicable) ______________________________ I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Print Name Signature Date Application # _____________________________ Date Received ___________________________ B2013220 12/2/2020