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HomeMy WebLinkAbout506 S COLLEGE AVE - A - PERMITS - 6/28/2021Site Address: 506 S COLLEGE AVE, A Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82105020 Issued Full: 06/28/2021 Permit Type: Commercial Plumbing Job Valuation: $8,200.00 Category: Commercial Remodel Owner: Paul Mills 506 S COLLEGE AVE STE A FORT COLLINS, CO 80524-3247 Zoning: Front setback: Rear setback: Minor Amend#: ______ Plat File#: Zoning district: D -DOWNTOWN DISTRICT Phone: 970-218-2053 Right setback: ____ _ Left setback: ZBA Case#: Filing# Lot#: Block# Legal: Subdivision/PUD: ------------------------Code: Res sq ft: 0 # of stories: Fire Sprklr: Contractor: ROTO-ROOTER Com sq ft: 0cc Group: Stock plan #: ___ _ 3005 W 29th Street#G2 Greeley, CO 80631 Subcontractor(s) Work Description: Replace 30 ft of sewer line. Ind sq ft: Basement sq ft: _______ _ Const Type: ____________________ _ Stock plan options: _________________ _ License #: ROW-1900078 Supervisor cert#: Phone: 970-482-3348 Phone License Number 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 06/28/21: $255.65 Payment method: Credit Card 6251 •• Fee Detail Displayed on Next Page />s 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. Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010 City of ~tColli~ Site Address: 506 S COLLEGE AVE, A Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82105020 Issued Full: 06/28/2021 Permit Type: Commercial Plumbing Job Valuation: $8,200.00 Category: Commercial Remodel Transactions Method Che!;,k Number Date Paid Credit Card CK#6251 06/28/2021 Receipt issued: 06/28/2021 Total Paid to Date: Fee Descri~tion Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee -$65 1000.422010 TOTAL FEES: Amount Paid Comm!;!nts $255.65 $255.65 Fee Amount Amount Paid Date Paid $157.85 $157.85 06/28/2021 $32.80 $32.80 06/28/2021 $65.00 $65.00 06/28/2021 $255.65 $255.65 TOTAL BALANCE DUE AS OF 06/28/2021: Amount Due $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Cltyof ktColl~ PLUMBING PERMIT APPLICATION Community Development and Neighborhood Services 281 N College buildingservices@fcgov.com Fort Collins, CO 80524 970-416-27 40 Application# --'%L::........l1""", \'-'-0-~'------~ '1J5 • 1cfl\ Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address -l I\ Address ?J::i '2 5). C c:Th?De < h\JQ__ ~\~ tt u City/State/Zip B(ci\\ '<\S CO '8(f)24 Prope!::::inforlll;if~n Name ~ill M \ \ S Phone Number -~_.~......_-=0'--L-"--\ 5).....,__Z;E'""'-=· -"-:L"'--:)"------Address ~'{o S • CO\~ A\ 'If t \D\.\-~ City/State/Zip t\-(6l\\. \~QY1C£2i-! Q RESIDENTIAL . 0 Single Family Detached O Townhome (attached) 0 Duplex 0 ApartmenUCondo O Garage/Other Value of Work '??: ~ ~ Labor and Materials$ -~-L:!~~~~--------Scope of Work @sewer line replacement I new 0 Water line replacement I new 0 Gas line replacement I new 0 Other plumbing work Feet to be replaced/ installed-~~-~-~~_+_. ____ _ Feet to be replaced I installed ________ _ Feet to be replaced / installed ________ _ Additional Information (if applicable) Plumbin ontr ctor or Excavation Company Name / <':(' Address __:.....,,,.__=-=--'-='-"---C=-~-'--\--~_'\__,_~--=-il.....i-"--'~;::,.,,<'i.-==----=--Phone Number ~(9 W License Number jl(µJ~\q ()U(J ~ Email QRetail 0 Restaurant I hereby acknowledge that I have read this application and state that the above 1nformat1on 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. lolzi/21 Date