HomeMy WebLinkAbout400 Park St - Permits/Water and or Sewer - 03/13/2018mot` Collins
Site Address: 400 PARK ST
Job Valuation: $3,000.00 Category: Residential
Owner: MORRIS CHAD D/CYNTHIA W
400 PARK ST
FORT COLLINS, CO 80521-0000
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1801548
Issued Full: 03/13/2018
Permit Type: Residential Plumbing
Phone: 303-941-6259
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
Code: Res sq ft
# of stories.
Fire Sprklr
Com sq ft
Occ Group
Stock plan #
Filing # Lot # Block #
Ind sq ft
Const Type
Stock plan options:
Basement sq ft
Contractor: ALLEN PLUMBING &-HEATING License #. MPS Supervisor cert
E' LJ101 S LINKLAN#.
FORT COLLINS, CO 80524� ( Phone 970-484-4841
Subcontracto0i) `� Phone License Number
Plumbing ALLEN PLUMBING &HEATING 970 484-4841 ❑ MP-4
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Work Description: Install sewer liner -in existing sewer line (20'ft fro�house-to main line)
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 03/13/18: $142.50 Payment method: Trust Account
Fee Detail Displayed on Neat Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply vwth all the requirements contained herein, and City ordinances, and State laws associated with such work I understand that such permit maybe
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:
Form Revised Oct 2010
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Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 = fax
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Building Permit #: B1801548
Issued Full: 03/13/2018
Permit Type: Residential Plumbing
Site Address: 400 PARK ST -
Job Valuation: 3 000.00 Category: Residential
Method Check Number Date Paid
Trust Account 03/13/2018
Receipt issued: 03/13/2018 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
Amount Paid
$142 50
$142 50
Fee Amount Amount Paid Date Paid
$76 50 $76.50 03/13/2018
$57 75 $57 75 03/13/2018
$8 25 $8 25 03/13/2018
TOTAL FEES: $142.60
Ft-
`--' '--TO of R
$142.60
Amount Due
$0 00
$0 00
$0 00
$0.00
ICE DUE A 03/13/2018: 0.00
0
k
Fee Amounts are valid for date of this document only. Fees subject to change without notice.