HomeMy WebLinkAbout2102 Lager St - Permits/Backflow - 08/01/2018City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80$22
970.221.676o 970.224.6134-fax
Building Permit #: B1805737
Issued Full: 08/01/2018
Site Address: 2102 LAGER ST
Job Valuation: $300.00 Category: Residential
Owner: SMITH SARAH D
2102 LAGER ST
FORT COLLINS, CO 80524-3950
Phone:
Permit Type: Residential Sprinkler
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:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: INDEPENDENT PLMBG SOL
1611 E Lincoln Ave Unit A
FORT COLLINS, CO 80524
Subcontractor(s)—
Plumbing: INDEPENDENT PLMBG SO
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Filing #: Lot #: 16 Block #: 2
Ind sq ft: _
Const Type: _
Stock plan options:
License #: MP-610
Phone: 970-566-1377
Basement sq ft:
Supervisor cert#:
Phone
% % 970-566-1377_--..,\ i f
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Work Description: Installation of backflow, preventer. Landscape Concepts to complete installation.
License Number
MP-610_- ...
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required:
TOTAL FEES PAID AS OF 08/01/18: $31.60 Payment method: Check 1879
'* Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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.
Signa ,u Print Nam jj r Date: p 6P
Form Revised Oct2010
City of
�,F��rt Collins
Site Address: 2102 LAGER ST
Job Valuation: $300.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK# 1879 08/01/2018
Amount Paid
$31.60
Receipt issued: 08/01/2018 Total Paid to Date: $31.60
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:. B1805737
Issued Full: 08/01/2018
Permit Type: Residential Sprinkler
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 261.122030
$5.77
$5.77
08/01/2018
$0.00
County Sales/Use Tax 100.217030
$0.83
$0.83
08/01/2018
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
08/01/2018
$0.00
TOTAL FEES:
$31.60 $31.60
$0.00
TOTAL BALANCE DUE AS OF 08101/2018: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.