HomeMy WebLinkAbout2927 CONQUEST ST - PERMITS - 1/21/2021Owner:COLUSSI AARON J/JENNIFER
2927 CONQUEST ST
FORT COLLINS,CO 80524-7517 Phone:812-498-0960
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 #:13
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:MIGHTY HAND CONSTRUCTION
2065 Huntington Cir.
FORT COLLINS,CO 80526
License #:D-848
Phone:970-844-9191
Supervisor cert #:
Subcontractor(s)Phone License Number
Mechanical:D &D HEATING &AIR 720-218-9269 H-3971(R)
Work Description:Install gas fireplace.No new 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 01/21/21:$232.40 Payment method:Credit Card 8068
**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 #:B2100495
Issued Full:01/21/2021
Permit Type:Residential Gas Log
Site Address:2927 CONQUEST ST
Job Valuation:$7,200.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #8068 01/21/2021 $232.40
Receipt issued:01/21/2021 Total Paid to Date:$232.40
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $138.60 $138.60 01/21/2021 $0.00
County Sales/Use Tax 100.217030 $28.80 $28.80 01/21/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/21/2021 $0.00
TOTAL FEES:$232.40 $232.40 $0.00
TOTAL BALANCE DUE AS OF 01/21/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100495
Issued Full:01/21/2021
Permit Type:Residential Gas Log
Site Address:2927 CONQUEST ST
Job Valuation:$7,200.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of k�oll� GAS/WOOD BURNING APPLIANCES
PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application# __________ _
Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address ;).. '3!).:1 City/State/Zip h,rt-Co1�ns , U) '8;0SJ.-'-\ 7
Property Owner Information
Name A 61;,on Cd.u..ssi Phone Number Bl'J.._-Ltg<o --0%0
Address &ayyu.. b\-&: d'd?site,City/State/Zip _.ce,s-=�'-'--'--"-=-------
Q RESIDENTIAL
Q COMMERCIAL
Value of Work
0 Single Family Detached O Townhome (attached) 0 Duplex 0 Apartment/Condo 0 Garage/Other
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office QRetail 0 Restaurant
Labor and Materials$ __ -:f. ...... a�eD-'-----------
Scope of Work
0 Wood/Pellet stove (required to be EPA approved)Model Name -----------------
Manufacturer ________________ _
�as Fireplace Length of extensions of gas line (if necessary)-----------------
Please list plumber if not completing D J-D i·(ea6·� J-,h'R,,..,
• ••••••• •-••••• •••-•-•••••••••-•••• ·•-• ••••••H••••-•rn•-•·•-•-••••• """·•-•"'"""""'"""''•••••••.-••••••-••••••• •••-••.,•-•-•• •••• .. -•-••••• • ••-•••·•• •• ·-•••••••••-••••••••• •-•-•••••• ••••••-•••••••••• •-•••••• ••••••••••••• •••••·"-•••••••"'""'"""'"'"""''"'"'""'''"'""'"""''"'""�"'''"'''"'"•"'""''"''"" "'''""•,.-w••••"'""""'"'"'"
0 Fire Pit
Additional Information
(if applicable)
-__ !........!...!..__�!,:!!,d,e,u�s..c..._�J)o::::..!....r:....· -----------=::_--�City/State/Zip 'Yi, {g>"W"-S UZ)J
Phone Number _9_70_-�_)$�J...\_L-t_-_9_i_9�l _____ _ Email c)�seG�..tt�n cc<ts\-<UC.:hOYt.-C42JYJ,
License Number --=J)'--·--)?_..__21...,__,_.'h'-------Certificate Number CL � 0 .9 9 5'-9 91
Subcontractor License (if applicable) _______ _ Subcontractor Name (if applicable) ____________ _
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply
with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not
valid until it has been paid and issued.
Jtc,S-�'2-, App l'c.OtA.."( �
Print Name
B2100495
1/21/2021