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Home My WebLink About2549 ROMELDALE LN - PERMITS - 2/1/2021Owner:DAVIS ALEXANDER D 2549 ROMELDALE LN FORT COLLINS, CO 80526-1170 Phone: 317-430-3475 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:KAHAR PLUMBING & HEATING, INC. 6772 N. Franklin Ave. Loveland, CO 80538 License #:MP-981 Phone: 970-461-2412 Supervisor cert #: Subcontractor(s)Phone License Number Plumbing:KAHAR PLUMBING & HEATING,970-461-2412 MP-981 Work Description: Replace 25 ftof gas 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 02/01/21: $92.32 Payment method:Credit Card 4330 ** Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed workonthe property describedherein. I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociated with suchwork. I understand that suchpermit may be revoked in the event that issuance was basedonincorrect information. This permit shall becomenull and void if the workauthorized by suchpermit is not commenced, suspended, abandoned or not inspected within 180 daysfromthe 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 #:B2100789 Issued Full:02/01/2021 Permit Type:Residential Plumbing Site Address:2549 ROMELDALE LN Job Valuation:$1,175.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK # 4330 02/01/2021 $92.32 Receipt issued:02/01/2021 Total Paid to Date: $92.32 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $22.62 $22.62 02/01/2021 $0.00 County Sales/Use Tax 100.217030 $4.70 $4.70 02/01/2021 $0.00 Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/01/2021 $0.00 TOTAL FEES:$92.32 $92.32 $0.00 TOTAL BALANCE DUE AS OF 02/01/2021:$0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #:B2100789 Issued Full:02/01/2021 Permit Type:Residential Plumbing Site Address:2549 ROMELDALE LN Job Valuation:$1,175.00 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 2549 Romeldale Lane Fort Collins, CO 80526 Alexander Davis 317-430-3475 2549 Romeldale Lane Fort Collins, CO 80526 $1175.00 25 ft Kahar Plumbing & Heating 6772 N. Franklin Avenue Loveland, CO 80538 970-461-2412 office@kaharph.com MP-981 Alex Davis 02/01/2021