HomeMy WebLinkAbout312 E Myrtle St - Permits/Plumbing - 12/11/2020Owner: LAQUATRA MICHELLE BATTY
312 E MYRTLE ST
FORT COLLINS, CO 80524-3104 Phone: 303-882-8908
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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: ELITE (THE) PIPE MD, LLC
56800 E 32nd Avenue
Strasburg, CO 80136
License #: ROW-1900080
Phone: 720-662-4381
Supervisor cert #:
Subcontractor(s) Phone License Number
Work Description: Replace 120 ft of sewer line and install dual sweep cleanouts.
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 12/11/20: $235.12 Payment method: Credit Card 3348
** 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 workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
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 #: B2013495
Issued Full: 12/11/2020
Permit Type: Residential Plumbing
Site Address: 312 E MYRTLE ST
Job Valuation: $5,500.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 3348 12/11/2020 $235.12
Receipt issued: 12/11/2020 Total Paid to Date: $235.12
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $107.25 $107.25 12/11/2020 $0.00
City Sales/Use Tax 251.122030 $105.87 $105.87 12/11/2020 $0.00
County Sales/Use Tax 100.217030 $22.00 $22.00 12/11/2020 $0.00
TOTAL FEES: $235.12 $235.12 $0.00
TOTAL BALANCE DUE AS OF 12/11/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2013495
Issued Full: 12/11/2020
Permit Type: Residential Plumbing
Site Address: 312 E MYRTLE ST
Job Valuation: $5,500.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
312 E Myrtle St Ft Collins
2. Property owner name:
Michelle Laquatra
3. Property owner address:
Street Address: : 312 E Myrtle St
City: : Fort Collins
State: : Co
Zip: : 80524
4. Property owner phone number:
303-882-8908
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
5500
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:
Sewer Line - Replacement
10. Number of feet to be installed/replaced:
120
11. Master plumber or excavation company name:
The Elite Pipe MD
12. Master plumber or excavation company address:
56800 E 32nd Ave
13. Master plumber or excavation company phone number:
7206624381
B2013495
12/11/2020
14. Master plumber or excavation company email:
david@elitepipemd.com
15. License number:
ROW-1900080
16. Additional information if applicable:
120' long sewer service repairs in back yard 10' deep pipe burst install dual sweep clean outs
3. Review
17. 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: David Salvidrez
Date Signed:
12/11/2020
18. Please include an email address to receive a confirmation and a copy of your answers.
david@elitepipemd.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.