HomeMy WebLinkAbout4442 GOSHAWK DR - PERMITS - 9/11/2020City of
k tColli~
Site Address: 4442 GOSHAWK DR
Job Valuation: $300.00
Owner: ABRAHAM NOHA
4442 GOSHAWK DR
Category: Residential
FORT COLLINS, CO 80526-3669
Zoning: Front setback: Rear setback:
Co mmunity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82010416
Issued Full: 09/11/2020
Permit Type: Residential Plumbing
Phone: 970-402-3169
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 :
# of stories: ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Ind sq ft: ______ Basement sq ft: _______ _
Const Type : ....,...---------------------Stock plan options: ------------------Contractor: ACTION PLUMBING & HEATING
201 SW 12th St.
License #: MP-324 Supervisor cert#:
LOVELAND, CO 80537 Phone: 970-669-6093
Subcontractor(s) Phone License Number
Plumbing: ACT ION PLUMBING & HEATING 970-669-6093 MP-324
Work Description: Replace 1.5" pipe with 2" pipe .
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 09/11/20: $31.97
•• Fee Detail Displayed on Next Page
Payment method: Check 321
P-s a condttion for the issuance of a permit, I hereby dedare 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.
Signature: Print Name: pate: -------------------------------------Fonn Revised Oct 2010
Site Address: 4442 GOSHAWK DR
Job Valuation: $300.00 Category: Residential
Transactions
Method
Check
Check Number
CK# 321
Pate Paid
09/11/2020
Amount Paid
$31.97
Receipt issued : 09/11/2020 Total Paid to Date: $31.97
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sa les/Use Tax 251 .122030
County Sales/Use Tax 100.217030
TOTAL FEES:
Fee Amount
$25.00
$5.77
$1.20
$31.97
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82010416
Issued Full: 09/11/2020
Permit Type: Residential Plumbing
comments
Amount Paid
$25 .00
$5 .77
$1.20
$31.97
Date Paid
09/11/2020
09/11/2020
09/11/2020
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/11/2020:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
k_5oll~~ PLUMBING PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com Application # eio, 04\ le
Fort Collins, CO 80524 970-416-2740 Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address C ~ .
Address L:\-Y,4 L 1~IA@uJ(_ $1 City/State/Zip B · ~ \LM:5, U) ·
-<1z;rz_1" Property OIA{\ner Information o 0 '-{,I
Name k.)D ~ ~~ Phone Number __.1t9_. ,___-_'-/_6~l--_~~l_l,~J~--
Address 4 4 Lt. 2-Q o,S'Lt~ ~c._ ~. City/State/Zip D O s L l,p
0 Apartment/Condo 0 Garage/Other
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office
Value of Work
Labor and Materials $ ';)OQ • 00
Scope of Work
0 Sewer line replacement I new
0 Water line replacement I new
0 Gas line replacement I new
~Other plumbing work
Additional Information
(if applicable)
Feet to be replaced / installed ________ _
Feet to be replaced / installed ________ _
Feet to be replaced / installed ________ _
I ~ 11 _[}__f\ ~.
re~(a t. t , ~ vflR-e, 2
Plumbing Contractor or Excavatip n Company
Name fuv\{6y\ 5~W IY'-&
Address 2-D/ $1,,J / z-+it_ S.f-· ·#= 4P 3/(
ORetail 0 Restaurant _j
City/State/Zip L V-(,!) • ~OS ?i]--
PhoneNumber 1Jo wr'tJ(o'7-(o(}q3 Email _________________ _
License Number ______________ _
I hereby acknowledge that I have read this application and state that the above information 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.
Print Name
---·-] ·----··· ct./n I 26
Date
---· ------·--·-·-