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Home My WebLink About17 BROWN AVE - PERMITS - 2/8/2021Owner:HEIN DARRAL W/CYNTHIA M 517 BROWN AVE FORT COLLINS, CO 80525 Phone: 970-217-7938 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:ELITE (THE) PIPE MD, LLC 56800 E 32nd Avenue Strasburg, CO 80136 License #:ROW-1900080 Phone: 720-662-4381 Supervisor cert #: Subcontractor(s)Phone License Number Work Description: Replace 35 ftof 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 02/08/21:$162.65 Payment method:Credit Card 3348 ** 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 #:B2100970 Issued Full:02/08/2021 Permit Type:Residential Plumbing Site Address: 517 BROWN AVE Job Valuation:$4,200.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK # 3348 02/08/2021 $162.65 Receipt issued:02/08/2021 Total Paid to Date: $162.65 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $80.85 $80.85 02/08/2021 $0.00 County Sales/Use Tax 100.217030 $16.80 $16.80 02/08/2021 $0.00 Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/08/2021 $0.00 TOTAL FEES:$162.65 $162.65 $0.00 TOTAL BALANCE DUE AS OF 02/08/2021:$0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #:B2100970 Issued Full:02/08/2021 Permit Type:Residential Plumbing Site Address: 517 BROWN AVE Job Valuation:$4,200.00 Category:Residential Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Building Permit Ov er the Counter Application 2. 1 . Job site addres s: 5 17 Brow n Ave Ft Collin s 2 . Prope rty owne r name : Cyn th ia He in 3 . Prope rty owne r a ddress: Stre et Address: : 51 7 Bro wn Ave Ci ty: : Ft Colli ns State: : Co Zip : : 80525 4 . Prope rty owne r phone number: (970) 21 7-79 38 5 . Project type: Resid en tial 6 . What ty pe of res idential? Single Family D etach ed 7 . Value of work (La bor a nd Mate r ia ls )($): 4 200 8 . Ty pe of permit: Plumbing Pleas e note: e ach individual lot require s a se parate applic ation and perm it. Pleas e note: e ach individual applianc e requir es a sepa rate application and permit. 9 . Scope of work: Sewer Line - R eplaceme nt 1 0. Num be r of fee t to be installe d/r eplaced: 3 5 1 1. Ma ster plum ber or excava tion company na m e: The Elite Pipe MD 1 2. Ma ster plum ber or excava tion company address: 5 6800 E 3 2nd Ave 1 3. Ma ster plum ber or excava tion company phone number: 7 20662 43 81 1 4. Ma ster plum ber or excava tion company email: d avid@elitepipemd .com 1 5. Lic ense number: ROW-1900 080 1 6. Additional infor mation if a pplicable: We wo uld like to start work 2-9 -202 1. 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: D avid Salvidrez Date Signed: 0 2/08 /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. d avid@elitepipemd .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.