HomeMy WebLinkAbout410 S Grant Ave - Permits/Plumbing - 09/12/2018IIty of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
C ` Collins 970.221.6260 990.224.6134 -fax
Building Permit #: B1807842
�— Issued Full: 09/12/2018
Permit Type: Residential Plumbing
Site Address: 410 S GRANT AVE
Job Valdation: 400.00 Category: Residential
Owner: CLARK GREGORY P/ALENA M
410 S GRANT AVE
FORT COLLINS, CO 80521 Phone:
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: NORTHERN COLORADO_PLUMBING AND DRAIN; License #: MP-579 Supervisor cert#:
1281 E. Magnolia,St. Unit D_ I
FORT COLLIN& CO 80524_ Phone- 970-221-0872
i i
Subcontractor(sl - „1, /%"Phone ` License Number
Plumbing: NORTHERN COLORADO PLUMBING ,/ f 97C-221-0872 E] MP-579
Work Description: Repair water linedeak at house.
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: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 09112/18: $193.80 Payment method: Credit Card 2793
" 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 describedherein.
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: -Aoh/\ C I Date: A2.
Revised Oct 2010
F6Collinsrt
Site Address: 410 S GRANT AVE
Job Valuation: $4,400.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1807842
Issued Full: 09/12/2018
Permit Type: Residential Plumbing
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK#2793 09/12/2018
$193.80
Receipt issued: 09/12/2018 Total Paid to Date:
$193.80
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$97.00
$97.00
09/12/2018
$0.00
Subs
City Sales/Use Tax 251.122030
$84.70
$84.70
09/12/2018
$0.00
County Sales/Use Tax 100.217030
$12.10
$12.10
09/12/2018
$0.00
TOTAL FEES: $193.80
TOTAL B,
$193.80
$0.00
ICE DUE AS_OF 09112/2018: 0.00
J
Fee Amounts are valid for date of this document only. Fees subject to change without notice.