HomeMy WebLinkAbout409 Stout St - Permits/Backflow - 07/19/2017F___r.'t Collins
Site Address: 409 STOUT ST
Job Valuation: $150.00 Category: Residential
Owner: TIMBERVINE HOLDINGS LLC
4801 GOODMAN RD
TIMNATH, CO 80547-2297
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 97o.224.6134 -,fax
Building Permit #: B1703907
Issued Full: 07/19/2017
Permit Type: Residential Plumbing
Phone: 970-679-1109
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 #: 2 Block #: 2
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: INDEPENDENT PLMBG SOL '73 License #: MP-610 Supervisor cert#:
1611 E Lincoln Ave Unit A. r, r
FORT COLLINS, CO 80524 ' /; Ci -3 Phone: 970-566-1377
Subcontractor(s)� Phone
Plumbing: INDEPENDENT PLMBG SOL 97'0=566-1377 El
L
O
Wo/k Description: tion of backfl w preventer.
License Number
MP-610
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http:/Iwww.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Ins ections: RP GL UGP FNE FNM FNP
TOTAL FEES PAID AS OF 07/19/17: $28.38 Payment method: Credit Card 0472
" 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:
Fonn Revised Oct 2010
F___fCollins
Site Address: 409 STOUT ST
Job Valuation: 1150.00 Category: Residential
Transactions
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1703907
Issued Full: 07/19/2017
Permit Type: Residential Plumbing
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 0472 07/19/2017 $28.38 Tony Nolby paid with cc#0472
Receipt issued: 07/19/2017 Total Paid to Date: $28.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $25.00 $25.00 07/19/2017 $0.00
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
/1---. ❑ fly
$2.89 $2.89 07/19/2017
$0.49 $0.49 07/19/2017
$28.38
TOTAL BALA
rJ
$28.38
$0.00
$0.00
$0.00
NCE DUE AS OF 07/19/2017: 0.00
El
Fee Amounts are valid for date of this document only. Fees subject to change without notice.