HomeMy WebLinkAbout5644 Cornerstone Dr - Permits/Gas - Log, Line, Pipe - 12/02/2016Community Development & Neighborhood Services
I^ Cat] ®t--==---•----°----��--_.-:._-. _. 4._ 281N. CollegeAve Fort Collins, CO 80522
Fort Collins970.221.676o 970.22 34 -fax
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Building Permit#: B1607237
Issued Full: 12/02/2016
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1= Permit Type: Residential Plumbing
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Site Address: 5644 CORNERSTONE DR
Job Valuation: $800.00 Category: Residential
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Owner: ROGAN MICHAEL/JENNIFER J
3827 COSMOS LN
FORT COLLINS, CO 80528 Phone:
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 #: 5 Block #: 1
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: SHIPP'S PLUMBING HEATING AND ELECTRIC,
I'= LLC
148 Kitty Hawk Dr
I Windsor, CO 80550
Subcontractor(s)
Plumbing: SHIPP'S.PLUMBING HEATING A
I.A.
L]
License #: MP-815 Supervisor cert #:
Phone: 970-215-3051
Phone
970-215-3051
License Number
MP-815
Work Description: Install 175ft. gas line and firepitappliance. See attached Outdoor Decorative Appliances Memorandum for
requirements.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RP GL UGP FNE FNM FNP
TOTAL FEES PAID AS OF 12/02/16: $61.25 Payment method: Credit Card 2910
** 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 MonoxiAe Alarm fe"quired within 15 feet of each bedroom entrance.
Signature: Print Name: � 4AL&3(� Date: I Z/
9 !
Form Revised Oct 2010
mmuniry uevetopmenr ar lvetgnoornooa 6ervices
281 N. College Ave Fort Collins, CO 80522
970.221.676 o 970.224.6134 -fax
Building Permit #: B1607237
Issued Full: 12/02/2016
Permit Type: Residential Plumbing
Site Address: 5644 CORNERSTONE DR
Job Valuation: $800.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK # 2910 12/02/2016
$51.25
Receipt issued: 12/02/2016 Total Paid to Date:
$51.25
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$33.25
$33.25
12/02/2016
$0.00
Subs
City Sales/Use Tax 251.122030
$15.40
$15.40
12/02/2016
$0.00
County Sales/Use Tax 100.217030
$2.60
$2.60
12/02/2016
$0.00
TOTAL FEES:
$51.25
$51.25
$0.00
TOTAL BALANCE DUE AS OF 12/02/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010