HomeMy WebLinkAbout541 CRESTMORE PL - PERMITS - 2/9/2021Owner:JOHNSON CATHERINE ANN
541 CRESTMORE PL
FORT COLLINS, CO 80521-3203
Phone: 612-819-0091
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:WESTERN FIREPLACE SUPPLY
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524
License #:FG-1816
Phone: 970-498-9679
Supervisor cert #:
Subcontractor(s)Phone License Number
Gas Piping:WESTERN FIREPLACE SUPPLY 970-498-9679 FG-1816
Work Description:
Install a Lopi Greenfield New Iron gas stove. Extend gas line by 15 ft, and plug into outlet to left of stove.
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 02/09/21:$173.89 Payment method:Credit Card 2059
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed workonthe property describedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociated with suchwork. I understand that suchpermit may be
revoked in the event that issuance was basedonincorrect information. This permit shall becomenull and void if the workauthorized by suchpermit is not commenced,
suspended, abandoned or not inspected within 180 daysfromthe 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 #:B2100987
Issued Full:02/09/2021
Permit Type:Residential Gas Log
Site Address: 541 CRESTMOREPL
Job Valuation:$4,683.41 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 2059 02/09/2021 $173.89
Receipt issued:02/09/2021 Total Paid to Date:
$173.89
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $90.16 $90.16 02/09/2021 $0.00
County Sales/Use Tax 100.217030 $18.73 $18.73 02/09/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/09/2021 $0.00
TOTAL FEES:$173.89 $173.89 $0.00
TOTAL BALANCE DUE AS OF 02/09/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2100987
Issued Full:02/09/2021
Permit Type:Residential Gas Log
Site Address: 541 CRESTMOREPL
Job Valuation:$4,683.41 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010