HomeMy WebLinkAbout2714 ROCK CREEK DR - PERMITS - 12/17/2020Owner:NILES ANDREW G/KATHRINE F
2714 ROCK CREEK DR
FORT COLLINS,CO 80528-3119 Phone:970-493-4355
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 #:13 Block #:1
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:BERSHINSKY P &H
4562 Denrose Ct Suite 1
FORT COLLINS,CO 80524
License #:MP-143
Phone:970-493-4355
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:BERSHINSKY P &H 970-493-4355 MP-143
Work Description:Installation of 10ft of gas line for new gas range stove in kitchen.
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:200 204 102 301 302 300
TOTAL FEES PAID AS OF 12/21/20:$60.26 Payment method:Credit Card 7947
**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 #:B2013712
Issued Full:12/21/2020
Permit Type:Residential Plumbing
Site Address:2714 ROCK CREEK DR
Job Valuation:$925.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #7947 12/21/2020 $60.26
Receipt issued:12/21/2020 Total Paid to Date:$60.26
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $38.75 $38.75 12/21/2020 $0.00
City Sales/Use Tax 251.122030 $17.81 $17.81 12/21/2020 $0.00
County Sales/Use Tax 100.217030 $3.70 $3.70 12/21/2020 $0.00
TOTAL FEES:$60.26 $60.26 $0.00
TOTAL BALANCE DUE AS OF 12/21/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2013712
Issued Full:12/21/2020
Permit Type:Residential Plumbing
Site Address:2714 ROCK CREEK DR
Job Valuation:$925.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
2714 Rock Creek Drive
2.Property owner name:
Andrew Niles
3.Property owner address:
Street Address: : 2714 Rock Creek Drive
City: : Fort Collins
State: : CO
Zip: : 80528
4.Property owner phone number:
9496197495
5.Project type:
Residential
6.What type of residential?
Townhome (attached)
7.Value of work (Labor and Materials)($):
925
8.Type of permit:
Plumbing
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 Line - New
10.Number of feet to be installed/replaced:
10
11.Master plumber or excavation company name:
Bershinsky Plumbing & Heating, Inc.
12.Master plumber or excavation company address:
4562 Denrose Court, Suite 1 Fort Collins, CO 80524
13.Master plumber or excavation company phone number:
9704934355
B2013712
12/21/2020
1 4. Ma ster plum ber or excava tion company email:
b rooke@bph 1985.com
1 5. Lic ense number:
NP0018680 2
3. Review
1 7. 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: Andrew N iles
Date Signed:
1 2/18 /2 020
1 8. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
a ndrew .g .n iles@gma il.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.