HomeMy WebLinkAbout416 Clover Ln - Permits/Gas - Log, Line, Pipe - 03/02/2020City 0� Community Development & Neighborhood Services
Fort Collins 281N.CollegeAve Fort Collins, COSo522
970.221.676o 970.224.6134 -.fax
Address: 416 CLOVER LN
Valuation: $4,000.00 Category: Residential
Owner: KAMBERELISANNIKA
416 CLOVER LN
FORT COLLINS, CO 80521-1637
Zoning: Frontsetback:
Building Permit #: B2001750
Issued Full: 03/02/2020
Permit Type: Residential Gas Log
Phone:970-818-1974
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Rear setback:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: TEXAS FIREPLACE EXPRESS, LLC DBA
FIREPLACE WAREHOUSE
1825 E Mulberry St,
Fort -Collins, -CO 80524
Subcontractor(sl^
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: FP-3698 Supervisor cert#:
Phone: 719482-8599
`; -'Phone j License Number
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Work Description: Installation of gas fireplace with 6 ftof"gas lines
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 03/02/20: $118.00 Payment method: Credit Card 9414
*' 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 assodated 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:z', Print Name: V, /V �� l/ Date: 3�Z PZU
Form Revised Oct 2010
art Collins
of
;Ite Address: 416 CLOVER LN
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Job Valuation: $4,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 9414 03/02/2020 $118.00
Receipt issued: 03/02/2020 Total Paid to Date: $118.00
Building Permit#: B2601750
Issued Full: 03/02/2020
Permit Type: Residential Gas Log
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$77.00
$77.00
03/02/2020
County Sales/Use Tax 100.217030
$16.00
$16.00
03/02/2020
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
03/02/2020
Amount Due
$0.00
$0.00
$0.00
TOTAL FEES:
$118.00
$118.00
$0.00
TOTAL BALANCE DUE AS OF 03/02/2020: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.