HomeMy WebLinkAbout2901 MOORE LN - PERMITS - 7/13/2021 Cityof Community Development&Neighborhood Services
I: cDrt CoLLins 281 N. College Ave Fort Collins, 6/ 8o522
97o.22i.ti76o 970.224.6i,34 -fax
Building Permit#: B2105502
Issued Full: 07/13/2021
Permit Type: Residential Plumbing
Site Address: 2901 MOORE LN
Job Valuation: $6,500.00 Category: Residential
Owner: BAUER ELIZABETH NANETTE
2901 MOORE LN
FORT COLLINS, CO 80526-2102 Phone 970-691-4950
Zoning: Front setback. Rear setback: Right setback. Left setback.
Minor Amend#* Plat File#* _ ZBA Case#*
Zoning district: MULTI
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: MIKE'S PROPERTY SERVICE License#* ROW-1900116 Supervisor cert#*
133 Regina Drive
FORT COLLINS, CO 80525 Phone 970-420-8757
Subcontractor(s) Phone License Number
Plumbing* AGGIE PLUMBING &SERVICE I 970-226-9979 MP-515
Work Description Sewer line repair of 80 ft.
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 07/13/21: $216.13 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.
Signature: Print Name: Date:
Form Revised Oct 2010
�o�y of Community Development&Neighborhood Services
Fc,rt 281 N. College Ave Fort Collins, CO 80522
CoLLins 970.22/.6760 970.224.6i34 -fax
Building Permit#: B2105502
Issued Full: 07/13/2021
Permit Type: Residential Plumbing
Site Address: 2901 MOORE LN
Job Valuation: $6,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 07/13/2021 $216 13
Receipt issued: 07/13/2021 Total Paid to Date: $216 13
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251 122030 $125 13 $125 13 07/13/2021 $0 00
County Sales/Use Tax 100.217030 $26 00 $26 00 07/13/2021 $0 00
Permit Flat Fee-$65 1000 422010 $65.00 $65 00 07/13/2021 $0 00
TOTAL FEES: $216.13 $216.13 $0.00
TOTAL BALANCE DUE AS OF 07/13/2021: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
Fort Collins PLUMBING PERMIT APPLICATION
Community Development and Neighborhood Services
Application#
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740 Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Addres
' 1Ji S (C
M )/,fe. /��`�- City/State/Zip � ►�
Property Owner /formattioon
Name //iai c/ /ZUr Phone Number _ 9:74d 0 Z7/450
Address __Will. f 1OO►<( /4`j` ,, City/State/Zip /) 1//I q 4.e. 6
()RESIDENTIAL Single Family Detached 0 Townhome(attached) 0 Duplex Q Apartment/Condo 0 Garage/Other
r,,i.;.,W,-,
M ,R e li' .`:' Q Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office 0 Retail 0 Restaurant j
Value of Work
Labor and Materials$ 1!!SOO
Scope of Work A? M)Sewer line replacement/new Feet to be replaced/installed , �
Q Water line replacement/new Feet to be replaced/installed
Q Gas line replacement/new Feet to be replaced/installed
Q Other plumbing work
Additional Information 1lt/frl 4IL. S J fJ u'r���(if applicable) 49er6,
1
Plumbing Con actor or.Excava�ti Company n/�,r
Name / 1//?1.5 Pia e / �7 , "11, 4
Address 133 k f t, '. City/State/Zip Y t)i(!v{-S (fd
Phone Number 970 y 75� Email dvyurl rei-th 6 N. a4
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 Jl Signature 404 Date ? "J d"/