HomeMy WebLinkAbout90 CIRCLE DR - PERMITS - 3/26/2021Owner:SEWARD ROSEMARY ANNE
90 CIRCLE DR
FORT COLLINS,CO 80524-4104 Phone:970-494-7632
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCL -NEIGHBORHOOD CONSERVATION -LOW 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:ALLEN PLUMBING &HEATING
101 S.LINK LANE
FORT COLLINS,CO 80524
License #:MP-4
Phone:970-484-4841
Supervisor cert #:
Subcontractor(s)Phone License Number
Plumbing:ALLEN PLUMBING &HEATING 970-484-4841 MP-4
Work Description:Install 45'4"sewer service liner.
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 03/26/21:$262.63 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.
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 #:B2102206
Issued Full:03/26/2021
Permit Type:Residential Plumbing
Site Address:90 CIRCLE DR
Job Valuation:$8,500.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/26/2021 $262.63
Receipt issued:03/26/2021 Total Paid to Date:$262.63
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $163.63 $163.63 03/26/2021 $0.00
County Sales/Use Tax 100.217030 $34.00 $34.00 03/26/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/26/2021 $0.00
TOTAL FEES:$262.63 $262.63 $0.00
TOTAL BALANCE DUE AS OF 03/26/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2102206
Issued Full:03/26/2021
Permit Type:Residential Plumbing
Site Address:90 CIRCLE DR
Job Valuation:$8,500.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
90 Circle Drive, Fort Collins, Colorado 80524
2.Property owner name:
Rosemary Seward
3.Property owner address:
Street Address: : 3402 Shallow Pond Drive
City: : Fort Collins
State: : CO
Zip: : 80528
4.Property owner phone number:
9704947632
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
8500.00
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:
45' 4" Sewer Service Liner
11.Master plumber or excavation company name:
Allen Plumbing and Heating
12.Master plumber or excavation company address:
101 S Link Lane, Fort Collins, Colorado 80524
13.Master plumber or excavation company phone number:
9704947632
03.26.2021
B2102206
1 4. Ma ster plum ber or excava tion company email:
christina @all enph.com
1 5. Lic ense number:
MP-4
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: C hristina Eva ns
Date Signed:
0 3/25 /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.
christina @all enph.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.