HomeMy WebLinkAbout4349 KINGSBURY DR - PERMITS - 11/17/2015FfCollins
Site Address: 4349 KINGSBURY DR
Job Valuation: $4,391.00 Category: Residential
Owner: MCELWAIN AUDREY BENSON
4349 KINGSBURY DR
FORT COLLINS, CO 80525
ty Development & Neighborhood Services
281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1508153
Issued Full: 11/17/2015
Permit Type: Residential Gas Log
Phone: 970-273-7966
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
Subcontractor(s)
Const Type:
Stock plan options:
License #: FP-1815
Phone: 970-498-9679
Phone
Work Description: Install FPX 4415 HO direct vent gas Unear fireplace and connect gas line.
Supervisor cert#:
License Number
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: LG GL
TOTAL FEES PAID AS OF 11/17/15: $123.80 Payment method: Credit Card 01051
*' 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.
Print Nam Date:
Form Revised Oct 2010
City of Community Development & Neighborhood Services
i 28z N. College Ave Tort Collins, CO
97o.22z.676o 970.224.Gz34 -fax
F6rt Collins
Building Permit#: B1508153
Issued Full: 11/17/2016
Permit Type: Residential Gas Log
Site Address: 4349 KINGSBURY DR
Job Valuation: $4,391.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Credit Card CK# 01051 11/17/2015
$123.80
PAID BY CHRIS TENAN WSTRN FIREPLACE SUP. CC#
01051
Receipt issued: 11/17/2015 Total Paid to Date:
$123.80
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$84.53
$84.53
11/17/2015
$0.00
County Sales/Use Tax 100.217030
$14.27
$14.27
11/17/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/17/2015
$0.00
TOTAL FEES:
$123.80
$0.00
$123.80
TOTAL BALANCE DUE AS OF 11/17/2015:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.