HomeMy WebLinkAbout3102 Lower Loop Loop Dr - Permits/Gas - Log, Line, Pipe - 12/21/2020Owner: DICK GARY L/ROSE M
741 CHEROKEE DR
FORT COLLINS, CO 80525 Phone: 970-217-2856
Zoning: Front setback: Rear setback: 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 #: 11
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: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
License #: FG-1816
Phone: 970-498-9679
Supervisor cert #:
Subcontractor(s) Phone License Number
Gas Piping: WESTERN FIREPLACE SUPPLY 970-498-9679 FG-1816
Work Description: Install Xtrordinare direct vent gas fireplace and rework gas line with keyed shutoff and connect to existing electric.
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 12/21/20: $162.58 Payment method: Credit Card 2059
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the ownerorowner'sagent,authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociatedwithsuchwork. I understand that suchpermitmaybe
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the workauthorizedbysuchpermitisnotcommenced,
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 #: B2013724
Issued Full: 12/21/2020
Permit Type: Residential Gas Log
Site Address: 3102 LOWER LOOP DR
Job Valuation: $5,917.24 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 2059 12/21/2020 $162.58
Receipt issued: 12/21/2020 Total Paid to Date: $162.58
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $113.91 $113.91 12/21/2020 $0.00
County Sales/Use Tax 100.217030 $23.67 $23.67 12/21/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 12/21/2020 $0.00
TOTAL FEES: $162.58 $162.58 $0.00
TOTAL BALANCE DUE AS OF 12/21/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2013724
Issued Full: 12/21/2020
Permit Type: Residential Gas Log
Site Address: 3102 LOWER LOOP DR
Job Valuation: $5,917.24 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010