HomeMy WebLinkAbout2912 QUERIDA ST - PERMITS - 10/5/2020Owner:MORTENSON GAIL K
2912 QUERIDA ST
FORT COLLINS,CO 80526-3742 Phone:970-412-2577
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
Electrical:PROLECTRIC INC 970-222-4740 ME-444
Gas Piping:WESTERN FIREPLACE SUPPLY 970-498-9679 FG-1816
Work Description:Provide and install a Fireplace Xtrordinair 32 DVS direct vent gas insert.Run 70ft new gas line from meter to
fireplace exposed on exterior of home.Run 110v power to 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 10/06/20:$145.07 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 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 #:B2011302
Issued Full:10/06/2020
Permit Type:Residential Gas Log
Site Address:2912 QUERIDA ST
Job Valuation:$5,164.17 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #2059 10/06/2020 $145.07
Receipt issued:10/06/2020 Total Paid to Date:$145.07
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $99.41 $99.41 10/06/2020 $0.00
County Sales/Use Tax 100.217030 $20.66 $20.66 10/06/2020 $0.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00 10/06/2020 $0.00
TOTAL FEES:$145.07 $145.07 $0.00
TOTAL BALANCE DUE AS OF 10/06/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2011302
Issued Full:10/06/2020
Permit Type:Residential Gas Log
Site Address:2912 QUERIDA ST
Job Valuation:$5,164.17 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
B2011302
10/6/2020