HomeMy WebLinkAbout221 JEFFERSON ST - PERMITS - 3/4/2021Owner:BRAND FORGE CREATIVE LLC
3821 BIG DIPPER DR
FORT COLLINS,CO 80528-4457 Phone:970-214-3423
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:D -DOWNTOWN DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:
#of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:LIND'S PLUMBING &HTG INC
1414 BLUE SPRUCE DRIVE #A
FORT COLLINS,CO 80524
License #:MP-221
Phone:970-221-1735
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:LIND'S PLUMBING &HTG INC 970-221-1735 MP-221
Work Description:Plumbing drain modifications,relocate upstairs waste line,rough in bar sink and relocate 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 03/04/21:$134.75 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 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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101626
Issued Full:03/04/2021
Permit Type:Commercial Plumbing
Site Address:221 JEFFERSON ST
Job Valuation:$3,000.00 Category:Commercial Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/04/2021 $134.75
Receipt issued:03/04/2021 Total Paid to Date:$134.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $57.75 $57.75 03/04/2021 $0.00
County Sales/Use Tax 100.217030 $12.00 $12.00 03/04/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/04/2021 $0.00
TOTAL FEES:$134.75 $134.75 $0.00
TOTAL BALANCE DUE AS OF 03/04/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101626
Issued Full:03/04/2021
Permit Type:Commercial Plumbing
Site Address:221 JEFFERSON ST
Job Valuation:$3,000.00 Category:Commercial Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
221 Jefferson Street
2.Property owner name:
Travis Barhaug
3.Property owner address:
Street Address: : 221 Jefferson Street
City: : Fort Collins
State: : CO
Zip: : 80524
4.Property owner phone number:
970-214-3423
5.Project type:
Commercial
6.What type of commercial?
Office
7.Value of work (Labor and Materials)($):
3,000.00
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:
Other Plumbing Work
10.Describe other plumbing work:
Drain modifications
11.Master plumber or excavation company name:
Lind's Plumbing & Heating
12.Master plumber or excavation company address:
1414 Blue Spruce Drive, Unit A
13.Master plumber or excavation company phone number:
9702211735
03.04.2021
B2101626
1 4. Ma ster plum ber or excava tion company email:
jen @lin dsph.com
1 5. Lic ense number:
MP-221
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: Jen Sve dma n
Date Signed:
0 3/03 /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.
jen @lindsph.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.