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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"/