HomeMy WebLinkAbout631 Skysail Ln - Permits/Gas - Log, Line, Pipe - 04/08/2016,:`mot` C`'�
Site Address: 631 SKYSAIL LN
Job Valuation: $3,414.00 Category: Residential
Owner: DEBUS ROBERT/SHANNON
631 SKYSAIL LN
FORT COLLINS, CO 80525-3143
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1601822
Issued Full: 04/08/2016
Permit Type: Residential Gas Log
Phone: 970-310-5481
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:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
Subcontractor(s)'
Gas Piping: WESTERN FIREPLACE SUPPLY.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: FG-1816 Supervisor cert #:
Phone: 970-498-9679
-Phone License Number
`.. 970-498-9679
,..__ .. FG-1816...
Work Description: Install direct vent gas fireplace and run new -gas line from meter to fireplace.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
ons: LG GL
TOTAL FEES PAID AS OF 04/08/16: $101.82 Payment method: Credit Card 1061
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, 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 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.
Print Name: VInr1S 1 QDate:
(4 - � (' (0
Form Revised Oct 2010
city of Community Development & Neighborhood Services
Fort Collin 281N.CollegeAve Fort Collins, COSo522
S970.221.676o 970.224.6154 -fax
l
Building Permit #: B1601822
Issued Full: 04/08/2016
Permit Type: Residential Gas Log
Site Address: 631 SKYSAIL LN
Job Valuation: $3,414.00 Category: Residential
Transactions
Me hod Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 1051 04/08/2016
$101.82
CHRIS TENAN/WESTERN FIREPLACE SUP paid with CC
Receipt issued: 04/08/2016 Total Paid to Date:
$101.82
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
City Sales/Use Tax 251.122030
$65.72
$65.72 04/08/2016
$0.00
d County Sales/Use Tax 100.217030
$11.10
$11.10 04/08/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
9
$25.00
$25.00 04/08/2016
$0.00
1
TOTAL FEES:
I
$101.82
$101.82
$0.00
TOTAL BALANCE DUE AS OF 04/08/2016:
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.