HomeMy WebLinkAbout5426 PARADISE LN - PERMITS - 11/5/2020Owner:WICK RANDAL C/JANELLE M
5426 PARADISE LN
FORT COLLINS,CO 80526-4325 Phone:970-226-2335
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 #:
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:MASUN ENERGY SYSTEMS,INC.
308 S SUMMITVIEW DR
FORT COLLINS,CO 80524
License #:FP-1941
Phone:970-484-2112
Supervisor cert #:
Subcontractor(s)Phone License Number
Work Description:Installation of gas fireplace and 53"of gas line.
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 11/05/20:$106.38 Payment method:Credit Card 9725
**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 required within 15 feet of each bedroom entrance.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2012517
Issued Full:11/05/2020
Permit Type:Residential Gas Log
Site Address:5426 PARADISE LN
Job Valuation:$3,500.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #9725 11/05/2020 $106.38
Receipt issued:11/05/2020 Total Paid to Date:$106.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $67.38 $67.38 11/05/2020 $0.00
County Sales/Use Tax 100.217030 $14.00 $14.00 11/05/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 11/05/2020 $0.00
TOTAL FEES:$106.38 $106.38 $0.00
TOTAL BALANCE DUE AS OF 11/05/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2012517
Issued Full:11/05/2020
Permit Type:Residential Gas Log
Site Address:5426 PARADISE LN
Job Valuation:$3,500.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
5426 Paradise Lane
2.Property owner name:
Jan Wick
3.Property owner address:
Street Address: : 5426 PARADISE LN
City: : FORT COLLINS
State: : CO
Zip: : 80526
4.Property owner phone number:
970-226-2335
5.Project type:
Residential
What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
$3500
8.Type of permit:
Gas/Wood Burning Appliances
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
Scope of work:
Gas Fireplace
Length of extensions of gas line (if necessary):
53"
Contractor name:
MaSun Energy Systems
Contractor address:
308 Summit View Dr
Contractor phone number:
888-484-0891
B2012517
11/5/2020
Contr actor email:
o ffice@firemeup.com
Lic ense number:
FP1 941
3. Review
2 0. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and
c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating
building construction. I know that a perm it is not valid until it has be en paid and issue d.
Signa tu re of: Jan Wick
Date Signed:
1 1/05 /2 020
2 1. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
Janb roncofan@msn.com
4. Thank You!
Thank you for submitting your a pplication for pr ocess ing.
To submit a nother over the counte r a pplica tion, click here.