HomeMy WebLinkAbout630 S Grant Ave - Permits/Plumbing - 12/02/2019Fr' `' i W ' 281 N. College Ave Fort Collins, CO 80522
ort Collins 970.221.676o 970.224.6134 -.fax
Building Permit #: B1916368
Issued Full: 1210212019
Permit Type: Residential Plumbing
Site Address: 630 S GRANT AVE
Job Valuation: $2,800.00 Category: Residential
Owner: ANTARES DEVELOPMENT LLC
5200 ABBEY RD
FORT COLLINS, CO 80526-3953 Phone: 303-653-7871
Zoning" Front setback: Rear setback: Right setback: Left setback:
Minor Amend M 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 License #: ROW-1900080 Supervisor cert#:
56800 E 32nd Avenue
Strasburg, CO 80136 Phone: 720-662-4381
Subcontractor(s)" ,---,Phone ! License Number
Aga - __ ` � _____ "" •� ,- _
Work Description: Installation of 10 ftsewer service repair in -backyard 8 ftdeep'iristall dual sweep clean outs.
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 12/02/19: $141.60 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 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 assodated 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 L C _ . ` �� Date: Z 2 /(Gt
Form Revised Oct 2010
FF,6A&*&rt Collins
Site Address: 630 S GRANT AVE
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1916368
Issued Full: 12/02/2019
Permit Type: Residential Plumbing
Job Valuation: $2,800.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 3348 12/02/2019 $141.60
Receipt issued: 12/02/2019 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
$141.60
Fee Amount Amount Paid Date Paid
$76.50 $76.50 12/02/2019
$53.90 $53.90 12/02/2019
$11.20 $11.20 12/02/2019
$141.60 $141.60
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12/02/2019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.