HomeMy WebLinkAbout3205 MUSKRAT CREEK CR - PERMITS - 7/1/2021 City ®f Community Development&Neighborhood Services
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28.1N. College Ave Fort Collins, 80522
970.221.6760 970.224.6/61,34 -fax
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Building Permit#: B2105177
Issued Full: 07/01/2021
Permit Type: Residential Gas Log
Site Address: 3205 MUSKRAT CREEK DR
Job Valuation: $7,142.95 Category: Residential
Owner: LUDWIN LAURA/MARK
3205 MUSKRAT CREEK DR
FORT COLLINS, CO 80528-7027 Phone: 970-988-0311
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#: 21 Block#:
Code: Res sq ft: Corn 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 License#: FP-1815 Supervisor cert#:
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524 Phone. 970-498-9679
Subcontractor(s) Phone License Number
Plumbing COVENANT PLUMBING 970-454-2830 MP-622
Work Description Installation of gas fireplace with 6' of 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 07/01/21: $231.07 Payment method: Check 232
**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.
Signature: Print Name: Date:
Form Revised Oct 2010
City ®f Community Development&Neighborhood Services
I1Drt281 N. College Ave Fort Collins, CO 80522
Collins 970:221.6760 970.224.6134 -fax
Building Permit#: B2105177
Issued Full: 07/01/2021
Permit Type: Residential Gas Log
•
Site Address: 3205 MUSKRAT CREEK DR
Job Valuation: $7,142.95 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#232 07/01/2021 $231 07
Receipt issued: 07/01/2021 Total Paid to Date: $231 07
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251 122030 $137 50 $137 50 07/01/2021 $0 00
County Sales/Use Tax 100.217030 $28 57 $28 57 07/01/2021 $0 00
Permit Flat Fee-$65 1000 422010 $65 00 $65 00 07/01/2021 $0.00
TOTAL FEES: $231.07 $231.07 $0.00
TOTAL BALANCE DUE AS OF 07/01/2021: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
Fort Collins GAS/WOOD BURNING APPLIANCES
7 �- PERMIT APPLICATION
Community Development and Neighborhood Services Application# 121G5---1
281 N College buildingservices@fcgovcom
Fort Collins, CO 80524 970-416-2740 Date Received '7. If 2
ALL.information is REQUIRED. Incomplete applications will not be.accepted.
Job Site Address, 1
Address 3 G.O. /f o J(iIA- Ct e -4 ,d/'. City/State/Zip '0 . Z E
Property Owner Information
Name 7n,4&l( Ljji v' . Phone Number R 4O— i ge-- 03 I,
Address ,320,5 /V't 5 e£A4 e ne - IO' City/State/Zip eO SLF
Q RESIDENTIAL Single Family Detached 0 Townhome(attached) 0 Duplex °Apartment/Condo Q Garage/Other
Q COMMERCIAL 0 Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office 0 Retail 0 Restaurant
Value of Work ,,..
Labor and Materials$ �. •._„AgrIll
I1Z
Scope of Work
Q Wood/Pellet stove(required to be EPA approved) Model Name
Manufacturer
Gas Fireplace Length of extensions of gas line(if necessary) Co
Please list plumber if not completing
Q Fire Pit
Additional Information
(if applicable)
Contractor
Name �0 u.e-e ...-f- sok1.-b i+,e_ k)e51eri�1 /-(!{>�lalG e J A(?p(1
Address �it� City/State/Zip
Phone Number 6/70--blo t — 0 O •-I-I Email
License Number Certificate Number
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.
o 74 ivov/A.,/ `A-7 - ? 7/ Z/
Print Name Signature Date