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Home My WebLink About1109 MATHEWS ST - PERMITS - 1/8/2021Owner:HENDERSON JAMES E 1109 MATHEWS ST FORT COLLINS,CO 80524-3722 Phone:970-222-1522 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:SCHRA CONSTRUCTION 1702 W 8th St Loveland,CO 80537 License #:ROW-2000086 Phone:970-619-9619 Supervisor cert #: Subcontractor(s)Phone License Number Work Description:Replace between 15-18 ft 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 01/05/21:$153.35 Payment method:Credit Card 5127 **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 #:B2100023 Issued Full:01/05/2021 Permit Type:Residential Plumbing Site Address:1109 MATHEWS ST Job Valuation:$3,800.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #5127 01/05/2021 $153.35 Receipt issued:01/05/2021 Total Paid to Date:$153.35 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $73.15 $73.15 01/05/2021 $0.00 County Sales/Use Tax 100.217030 $15.20 $15.20 01/05/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/05/2021 $0.00 TOTAL FEES:$153.35 $153.35 $0.00 TOTAL BALANCE DUE AS OF 01/05/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100023 Issued Full:01/05/2021 Permit Type:Residential Plumbing Site Address:1109 MATHEWS ST Job Valuation:$3,800.00 Category:Residential Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1.Job site address: 1109 Mathews Street 2.Property owner name: Jim Henderson 3.Property owner address: Street Address: : 1109 Mathews Street City: : Fort Collins State: : CO Zip: : 80524 4.Property owner phone number: 970 222 1522 5.Project type: Residential 6.What type of residential? Single Family Detached 7.Value of work (Labor and Materials)($): 3800.00 8.Type of permit: Plumbing Please note: each individual lot requires a separate application and permit. Please note: each individual appliance requires a separate application and permit. 9.Scope of work: Sewer Line - Replacement 10.Number of feet to be installed/replaced: 15 to 18 feet 11.Master plumber or excavation company name: Schra Construction 12.Master plumber or excavation company address: 1702 W 8th Street 13.Master plumber or excavation company phone number: 9705765978 B2100023 1/4/2021 1 4. Ma ster plum ber or excava tion company email: 4 repa irs911 @gmail.com 1 5. Lic ense number: ROW - 2 00008 6 3. Review 1 7. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating building construction. I know that a perm it is not valid until it has be en paid and issue d. Signa tu re of: Kaci And rew s Date Signed: 0 1/04 /2 021 1 8. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers. 4 repairs911 @gmail.com 4. Thank You! Thank you for submitting your a pplication for pr ocess ing. To submit a nother over the counte r a pplica tion, click here.