HomeMy WebLinkAbout1803 ROLLING GATE RD - PERMITS - 3/3/2021Owner:BENSON TODD L/STEPHANIEC
1803 ROLLING GATE RD
FORT COLLINS, CO 80526-3393
Phone: 970-396-2754
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:AGGIE PLUMBING & SERVICE INC
309 S SUMMIT VIEW DR #12
FORT COLLINS, CO 80524
License #:MP-515
Phone: 970-226-9979
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:AGGIE PLUMBING & SERVICE I 970-226-9979 MP-515
Work Description:
Install 30 ftof gas line for range and BBQ.
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 03/03/21: $94.06 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 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 #:B2101571
Issued Full:03/03/2021
Permit Type:Residential Plumbing
Site Address:1803 ROLLING GATE RD
Job Valuation:$1,250.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/03/2021 $94.06
Receipt issued:03/03/2021 Total Paid to Date:
$94.06
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $24.06 $24.06 03/03/2021 $0.00
County Sales/Use Tax 100.217030 $5.00 $5.00 03/03/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 03/03/2021 $0.00
TOTAL FEES:$94.06 $94.06 $0.00
TOTAL BALANCE DUE AS OF 03/03/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101571
Issued Full:03/03/2021
Permit Type:Residential Plumbing
Site Address:1803 ROLLING GATE RD
Job Valuation:$1,250.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
1 803 Rolli ng Gate R d, Fort Coll in s, CO 8 05 26
2 . Prope rty owne r name :
Tod Ben son
3 . Prope rty owne r a ddress:
Stre et Address: : 18 03 Roll in g Gate Rd
Ci ty: : Fort C ol lins
State: : CO
Zip : : 80526
4 . Prope rty owne r phone number:
9 70-3 96 -275 4
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Single Family D etach ed
7 . Value of work (La bor a nd Mate r ia ls )($):
1 250.00
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:
Gas L in e - New
1 0. What is the gas line for?
New ga s line for rang e an d BBQ.
1 1. Num be r of fee t to be installe d/r eplaced:
3 0
1 2. Ma ster plum ber or excava tion company na m e:
Agg ie Pl umbing & Se rvice In c
1 3. Ma ster plum ber or excava tion company address:
3 09 S Summit View Dr, Unit 1 2, Fort Collin s, C O 8 0524
1 4. Ma ster plum ber or excava tion company phone number:
9 70-2 26 -997 9
1 5. Ma ster plum ber or excava tion company email:
me lissa @a ggieplumbing.com
1 6. Lic ense number:
PC .0 001099
3. Review
1 8. 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: Kathleen E Moore
Date Signed:
0 3/01 /2 021
1 9. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
katy@a ggieplumbing .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.