HomeMy WebLinkAbout904 ROCKY RD - PERMITS - 2/24/2021Owner:MORRELL KAREN L TRUST
4022 PLATTE DR
FORT COLLINS,CO 80526 Phone:970-988-0470
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:MR.ROOTER PLUMBING
3801 Godding Hollow Parkway
Frederick,CO 80516
License #:MP-977
Phone:303-975-0005
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:MR.ROOTER PLUMBING 303-975-0005 MP-977
Work Description:Replace 44'sewer 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 02/24/21:$128.99 Payment method:Credit Card 7004
**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 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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101425
Issued Full:02/24/2021
Permit Type:Residential Plumbing
Site Address:904 ROCKY RD
Job Valuation:$2,752.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #7004 02/24/2021 $128.99
Receipt issued:02/24/2021 Total Paid to Date:$128.99
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $52.98 $52.98 02/24/2021 $0.00
County Sales/Use Tax 100.217030 $11.01 $11.01 02/24/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/24/2021 $0.00
TOTAL FEES:$128.99 $128.99 $0.00
TOTAL BALANCE DUE AS OF 02/24/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101425
Issued Full:02/24/2021
Permit Type:Residential Plumbing
Site Address:904 ROCKY RD
Job Valuation:$2,752.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Application # _____________________________
Date Received ___________________________
PLUMBING PERMIT APPLICATION
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address ________________________________________________________________ City/State/Zip _________________________
Property Owner Information
Name ______________________________________________________Phone Number _____________________________________
Address ________________________________________________________________ City/State/Zip _________________________
RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other
COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant
Value of Work
Labor and Materials $ ________________________________
Scope of Work
Sewer line replacement / new Feet to be replaced / installed _____________________
Water line replacement / new Feet to be replaced / installed _____________________
Gas line replacement / new Feet to be replaced / installed _____________________
Other plumbing work _____________ ________________________________
Additional Information
(if applicable)
Plumbing Contractor or Excavation Company
Name ________________________________________________________________________________________________________
Address ________________________________________________________________ City/State/Zip _________________________
Phone Number ____________________________________ Email ______________________________________________________
License Number ___________________________________
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.
Print Name Signature Date
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524
buildingservices@fcgov.com
970-416-2740
904 Rocky Road Fort Collins, CO 80521
MORRELL KAREN L TRUST 970-988-0470
4022 PLATTE DR FORT COLLINS, CO 80526
2752.00
44
Sewer line repair approximately 44 ft in length in the yard.
Mr. Rooter Plumbing
3801 Godding Hollow Pkwy Frederick, CO 80516
303-975-0005 Excavation@MrRooterSolutions.com
MP-977
Kevin Roseman 2/24/2021
B2101425
02.24.2021