HomeMy WebLinkAbout909 CHIPPEWA CT - PERMITS - 2/18/2021Owner:MAULSBY RONALD J/SUSAN L
909 CHIPPEWA CT
FORT COLLINS,CO 80525-1568 Phone:970-232-8837
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:DALE LINDHOLM BUILDERS INC.
2313 Montadale Ct.
Fort Collins,CO 80526
License #:D-752
Phone:970-482-6725
Supervisor cert #:
Subcontractor(s)Phone License Number
Work Description:Install gas fireplace,no new gas line or extensions.
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 02/18/21:$223.10 Payment method:Credit Card 6021
**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 #:B2101293
Issued Full:02/18/2021
Permit Type:Residential Gas Log
Site Address:909 CHIPPEWA CT
Job Valuation:$6,800.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #6021 02/18/2021 $223.10
Receipt issued:02/18/2021 Total Paid to Date:$223.10
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $130.90 $130.90 02/18/2021 $0.00
County Sales/Use Tax 100.217030 $27.20 $27.20 02/18/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/18/2021 $0.00
TOTAL FEES:$223.10 $223.10 $0.00
TOTAL BALANCE DUE AS OF 02/18/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101293
Issued Full:02/18/2021
Permit Type:Residential Gas Log
Site Address:909 CHIPPEWA CT
Job Valuation:$6,800.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
909 Chippewa Ct, Fort Collins, CO 80525
2.Property owner name:
Ron & Susan Maulsby
3.Property owner address:
Street Address: : 909 Chippewa Ct.
City: : Fort Collins
State: : CO
Zip: : 80525
4.Property owner phone number:
9702328837
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
6800.00
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
10.Length of extensions of gas line (if necessary):
N/A
11.Contractor name:
Dale Lindholm Builders, Inc
12.Contractor address:
2313, Montadale Court
13.Contractor phone number:
9705662798
B2101293
2/18/2021
14.Contractor email:
dalelindholm@dlbuilders.net
15.License number:
3443-D1
16.Certificate number:
D752
18.Subcontractor name (if applicable):
Fireplace Warehouse
19.Additional information if applicable:
Replace an existing gas FP with a Napoleon - elevation X42 gas FP and redo the stone & stucco facing
This is resubmitted now the you should have a current liability Certificate sent to you
3. Review
20.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.
Signature of: Dale Lindholm
Date Signed:
02/17/2021
21.Please include an email address to receive a confirmation and a copy of your answers.
dalelindholm@dlbuilders.net
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.