HomeMy WebLinkAbout5638 Evening Primrose Ln - Permits/Gas - Log, Line, Pipe - 04/08/2016F6rt Collins
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Site Address: 5638 EVENING PRIMROSE LN
Job Valuation: $4,453.59 Category: Residential
Owner: HATZIS CHRISTOPHER/ERIN
5638 EVENING PRIMROSE LN
FORT COLLINS, CO 80528
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1601823
Issued Full: 04/08/2016
Permit Type: Residential Gas Log
Phone: 336-682-2784
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 #: 35 Block #:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan M
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
Work Description: Install gas fireplace (4415HO)
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: FP-1815 Supervisor cert #:
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: LG GL
TOTAL FEES PAID AS OF 04/08/16: $125.20 Payment method: Credit Card 1051
`* 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.
Print Name: C� � �ti� Date: l (.73
Form Revised Oct 2010
F6rt_Collins
Site Address: 5638 EVENING PRIMROSE LN
Job Valuation: $4,453.59 Category: Residential
Method Check Number Date Paid
Credit Card CK # 1051 04/08/2016
Receipt issued: 04/08/2016 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$125.20
$125.20
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1601823
Issued Full: 04/08/2016
Permit Type: Residential Gas Log
Comments
CHRIS TENAN/WESTERN FIREPLACE SUP paid with CC
Fee Amount
Amount Paid
$85.73
$85.73
$14.47
$14.47
$25.00
$25.00
$125.20 $126.20
Date Paid
Amount Due
04/08/2016
$0.00
04/08/2016
$0.00
04/08/2016
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form