HomeMy WebLinkAbout6208 Swainsons Hawk Pl - Permits/Gas - Log, Line, Pipe - 09/30/2016F —1 -1
6rt Collins
.I Site Address: 6208 SWAINSONS HAWK PL
l Job Valuation: $2,100.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605773
Issued Full: 09/30/2016
Permit Type: Residential Plumbing
Owner: FRARY NATHAN L
6208 SWAINSONS HAWK PL
FORT COLLINS, CO 80528 Phone: 970-669-5280
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 2 Block #: 19
' 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: PATRICK PLUMBING & HEATING License #: MP-254 Supervisor cert#:
3600 HORSETOOTH CT
FORT COLLINS, CO 80526 Phone: 970-225-2282
Subcontractor(s) Phone License Number
Plumbing: PATRICK PLUMBING. & HEATING 970-225-2282.. MP-254. ...
Work Description: Install22ft. gas line.and firepitappliance_ See attach ed.0utdoor Decorative Appliances Memorandum -'for
requirements.
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.Eom/CitizenAccess/mobile
Inspections: RP GL UGP FNE FNM FNP
TOTAL FEES PAID AS OF 09/30/16: $123.75 Payment method: Credit Card 1046
** 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.
Signature: Print Name: `^L
Form Revised Oct 2010
UtyOt Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #: B1605773
Issued Full: 09/30/2016
Permit Type: Residential Plumbing
Site Address: 6208 SWAINSONS HAWK PL
Job Valuation: $2,100.00 Category: Residential
T------ L-_-_
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 1046 09/30/2016
$123.75
Receipt issued: 09/30/2016 Total Paid to Date:
$123.75
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Building Permit Fee Without 1000.422010
$76.50
$76.50
09/30/2016
Subs
City Sales/Use Tax 251.122030
$40.43
$40.43
09/30/2016
County Sales/Use Tax 100.217030
$6.82
$6.82
09/30/2016
TOTAL FEES: $123.75 $123.76
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00