HomeMy WebLinkAbout5013 BLUESTEM CT - PERMITS - 1/8/2021Owner:SCOTT STANLEY R/MIHO TOI
5013 BLUESTEM CT
FORT COLLINS,CO 80525 Phone:970-217-4876
Zoning:Front setback: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:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:TEXAS FIREPLACE EXPRESS,LLC DBA
FIREPLACE WAREHOUSE
1825 E Mulberry St
Fort Collins,CO 80524
License #:FP-3698
Phone:719-482-8599
Supervisor cert #:
Subcontractor(s)Phone License Number
Work Description:Install new gas fireplace.
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 01/06/21:$192.87 Payment method:Credit Card 4162
**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 #:B2100099
Issued Full:01/06/2021
Permit Type:Residential Gas Log
Site Address:5013 BLUESTEM CT
Job Valuation:$5,500.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #4162 01/06/2021 $192.87
Receipt issued:01/06/2021 Total Paid to Date:$192.87
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $105.87 $105.87 01/06/2021 $0.00
County Sales/Use Tax 100.217030 $22.00 $22.00 01/06/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/06/2021 $0.00
TOTAL FEES:$192.87 $192.87 $0.00
TOTAL BALANCE DUE AS OF 01/06/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100099
Issued Full:01/06/2021
Permit Type:Residential Gas Log
Site Address:5013 BLUESTEM CT
Job Valuation:$5,500.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
5013 BLUESTEM CT
2.Property owner name:
STAN SCOTT
3.Property owner address:
Street Address: : 5013 BLUESTEM CT
City: : FORT COLLINS
State: : CO
Zip: : 80524
4.Property owner phone number:
970-217-4876
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
5500
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.
9.Scope of work:
Gas Fireplace
11.Contractor name:
FIREPLACE WAREHOUSE
12.Contractor address:
1825 EAST MULBERRY ST
13.Contractor phone number:
719-502-0008
14.Contractor email:
BEN@FPWHS.COM
B2100099
1/6/2021
1 5. Lic ense number:
FP-3698
1 6. Certificate number:
4 148-FP
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: BENJAMIN N IELL
Date Signed:
0 1/06 /2 021
2 1. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
BEN@FPWH S.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.