HomeMy WebLinkAbout124 Fishback Ave - Permits/Gas - Log, Line, Pipe - 11/10/2020Owner: REFFLER CYNTHIA J
124 FISHBACK AVE
FORT COLLINS, CO 80521 Phone: 970-215-6118
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY 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: TEXAS FIREPLACE EXPRESS, LLC DBA
FIREPLACE WAREHOUSE
1825 E Mulberry St
Fort Collins, CO 80524
License #: FP-3698
Phone: 719-482-8599
Supervisor cert #:
Subcontractor(s) Phone License Number
Work Description: Install gas fireplace using existing 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 11/10/20: $106.38 Payment method: Credit Card 4162
** 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 #: B2012605
Issued Full: 11/10/2020
Permit Type: Residential Gas Log
Site Address: 124 FISHBACK AVE
Job Valuation: $3,500.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 4162 11/10/2020 $106.38
Receipt issued: 11/10/2020 Total Paid to Date: $106.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $67.38 $67.38 11/10/2020 $0.00
County Sales/Use Tax 100.217030 $14.00 $14.00 11/10/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 11/10/2020 $0.00
TOTAL FEES: $106.38 $106.38 $0.00
TOTAL BALANCE DUE AS OF 11/10/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2012605
Issued Full: 11/10/2020
Permit Type: Residential Gas Log
Site Address: 124 FISHBACK AVE
Job Valuation: $3,500.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
11.10.2020
B2012605