HomeMy WebLinkAbout6213 SOUTHRIDGE GREENS BLVD - PERMITS - 10/17/2017City of Community Development & Neighborhood Services
Fort Col l i s 281 N. College Ave Fort Collins, CO 8052x
970.221.676o 970.224.6134 -,f�
Building Permit #: B1706700
Issued Full: 10/17/2017
Site Address: 6213 SOUTHRIDGE GREENS BLVD
Job Valuation: $3,000.00 Category: Residential
Owner: MAYHEW JENNIFER J/DAVID J
6213 SOUTHRIDGE GREENS BLVD
FORT COLLINS, CO 80525-9133
Zoning: Front setback:
Rear setback:
Permit Type: Residential Gas Log
Phone: 970-817-1874
Minor Amend #: Plat File #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: POEHLMANN CONSTRUCTION
1642 FANTAIL CT
FORT COLLINS, CO 80528
Subcontractor(s)
Electrical: GREGORY ELECTRIC
Plumbing: COLORADO PLUMBING INC
Gas Piping: WESTERN FIREPLACE SUPPLY
Right setback: Left setback:
ZBA Case #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: C1-131
Phone: 970-278-1930
Phone
970-669-7609
970-484-9922
970-498-9679
Work Description: Upgrade gas burning fireplace with replacement of new gas burning fireplace.
Basement sq ft:
Supervisor cert#:
License Number
M E-404
MP-413
FG-1816
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
Ins ections: LG GL
TOTAL FEES PAID AS OF 10/17/17: $92.50 Payment method: Check 12748
" 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 Monoxide Alarm equired within 15 feet of each bedroom entrance.
Signature: Print Name: ��,, �pQ��[N�Date:
Form Revised Oct 2010
rfCollins
Site Address: 6213 SOUTHRIDGE GREENS BLVD
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK# 12748 10/17/2017
Receipt issued: 10/17/2017 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
Amount Paid
$92.50
$92.50
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1706700
Issued Full: 10/17/2017
Permit Type: Residential Gas Log
Comments
Poehlmann Construction paid with check 12748
Fee Amount
Amount Paid
$57.75
$57.75
$9.75
$9.75
$25.00
$25.00
Date Paid
Amount Due
10/17/2017
$0.00
10/17/2017
$0.00
10/17/2017
$0.00
TOTAL FEES: $92.50 $92.50 $0.00
TOTAL BALANCE DUE AS OF 10/17/2017: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.