HomeMy WebLinkAbout4271 Southshore Ct - Permits/Plumbing - 08/06/2020Owner: UNDY STEPHEN R/APRIL M
5916 LINDEN VIEW CT
FORT COLLINS, CO 80524-8344 Phone: 970-407-8788
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL 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: ACTION PLUMBING & HEATING
201 SW 12th St.
LOVELAND, CO 80537
License #: MP-324
Phone: 970-669-6093
Supervisor cert #:
Subcontractor(s) Phone License Number
Plumbing: ACTION PLUMBING & HEATING 970-669-6093 MP-324
Work Description: Replace 60 ft of water line.
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 08/06/20: $212.09 Payment method: Trust Account
** 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 workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2008900
Issued Full: 08/06/2020
Permit Type: Residential Plumbing
Site Address: 4271 SOUTHSHORE CT
Job Valuation: $4,950.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/06/2020 $212.09
Receipt issued: 08/06/2020 Total Paid to Date: $212.09
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $97.00 $97.00 08/06/2020 $0.00
City Sales/Use Tax 251.122030 $95.29 $95.29 08/06/2020 $0.00
County Sales/Use Tax 100.217030 $19.80 $19.80 08/06/2020 $0.00
TOTAL FEES: $212.09 $212.09 $0.00
TOTAL BALANCE DUE AS OF 08/06/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2008900
Issued Full: 08/06/2020
Permit Type: Residential Plumbing
Site Address: 4271 SOUTHSHORE CT
Job Valuation: $4,950.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
4271 Southshore Ct.
2. Property owner name:
April Undy
3. Property owner address:
Street Address: : 4271 Southshore Ct.
City: : Ft. Collins
State: : CO
Zip: : 80525
4. Property owner phone number:
970-407-8788
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
4950
8. Type of permit:
Plumbing
9. Scope of work:
Water Line Replacement
10. Number of feet to be replaced:
60
11. Master plumber or excavation company name:
Action Plumbing & Heating
12. Master plumber or excavation company address:
201 12th St. SW
13. Master plumber or excavation company phone number:
970-669-6093
14. Master plumber or excavation company email:
will@actionplb.com
15. License number:
MP-324
B2008900
8/6/2020
16. Additional information if applicable:
3. Review
17. I hereby acknowledge that I have read this application and state that the above information is complete and
correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating
building construction. I know that a permit is not valid until it has been paid and issued.
Signature of: Will Pennington
Date Signed:
08/06/2020
18. Please include an email address to receive a confirmation and a copy of your answers.
will@actionplb.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.