HomeMy WebLinkAbout5424 Apple Dr - Permits/Addition or Alteration - 09/17/2019C'}� �� Community Development ter lvezgnoornooa 5ervzces
281N.CollegeAve Fort Collins, COog22
F0rt Collins
970.221.676o 970.224.6134 -fax
Building Permit #: B1911062
Issued Full: 09/17/2019
Permit Type: Residential Minor Alteration
Site Address: 5424 APPLE DR
Job Valuations 5 000.00 Category: Residential Remodel
Owner: DUNN JOHN C/DEBORAH A G
5424 APPLE DR
FORT COLLINS, CO 80526-4360 Phone: 970-226-8772
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 #: Block M
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FIR DEVELOPMENT License #: D-755 Supervisor cert#:
125 S Howes St, Floor 2
FORT COLLINS, CO 80521 Phone: 970-284-3200X3
Subcontractors) s -Phone j License Number
Plumbing: FORT COLLINS HEATING &AIR•_ 'm970=4844552[_ MP-937___
Job Contact: ANDREW .RAUCH , - 970-284-3200_
Wbrk Description: Combination of over the counters to include moving plumbing for upstairs bath, adding gas line for removing
woi d fireplace with new gas insert.
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: 102 205 200 202 204 303 302 203 301 201 300 207
TOTAL FEES PAID AS OF 09117/19: $272.20 Payment method: Credit Card 2003
*' Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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 ff 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: 1�C�1/I� II GL� Date:
-� Form Revised Oct 2010
.I
City
Community Development & Neighborhood Services
®�
F6rt Collins
281 N. College Ave Fort Collins, CO 8052
970.221.676o 970.224.6134 -fax
Building Permit #: B1911062
Issued Full: 09/17/2019
Permit Type: Residential Minor Alteration
Site Address: 5424 APPLE DR
Job Valuation:) $5,000.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 2003 09/17/2019
$272.20
Receipt issued: 09/17/2019 Total Paid to Date: $272.20
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010
$130.95
$130.95 09/17/2019 $0.00
City Sales/Use Tax 261.122030
$96.25
$96.25 09/17/2019 $0.00
County Sales/Use Tax 100.217030
$20.00
$20.00 09/17/2019 $0.00
Plan Check Flat Fee $25 1000.444010
$25.00
$25.00 09/17/2019 $0.00
TOTAL FEES:
$272.20 $0.00
$272.20
- --
TOTAL- BALANCE DUE AS OF 09/1712019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010