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Home My WebLink About305 E MAGNOLIA ST - PERMITS - 3/31/2021 City of Community Development& rt Neighborhood Services FDrt 281 N. College Ave Fo Collins, CO 80522 cLL ins 970.221.6760 970.224.6134 -.fax Building Permit#: B2102316 ` Issued Full: 03/30/2021 Permit Type: Residential Plumbing • Site Address: 305 E MAGNOLIA ST Job Valuation: $2,500 00 Category: Residential Owner: ZWEIFEL FAMILY 305 E MAGNOLIA ST FORT COLLINS, CO 80524-2905 Phone 970-227-7824 Zoning: Front setback. Rear setback: Right setback: Left setback Minor Amend It Plat File#. ZBA Case #* Zoning district: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD Filing* Lot#. Block#P Code: Res sq ft: Corn 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#P 133 Regina Drive FORT COLLINS, CO 80525 Phone. 970-420-8757 Subcontractor(s) Phone License Number Work Description- Replace 10 ft of sewer line Aggie Plumbing is the sub contractor 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 03/30/21: $123.12 Payment method: Credit Card 4336 **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 f City ®f Community Development&Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 Fcsrt Collins 970.221.676o 970.224.6134 -fax Building Permit#: B2102316 Issued Full: 03/30/2021 Permit Type: Residential Plumbing Site Address: 305 E MAGNOLIA ST Job Valuation: $2,500.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK#4336 03/30/2021 $123 12 Receipt issued: 03/30/2021 Total Paid to Date: $123 12 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $48.12 $48 12 03/30/2021 $0 00 County Sales/Use Tax 100.217030 $10.00 $10 00 03/30/2021 $0 00 Permit Flat Fee -$65 1000 422010 $65.00 $65 00 03/30/2021 $0 00 TOTAL FEES: $123.12 $123.12 $0.00 TOTAL BALANCE DUE AS OF 03/30/2021: $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 City of Fort lli PLUMBING PERMIT APPLICATION Community Development and Neighborhood Services �� 6 V 23 I cc Application# 281 N College buildingservices@fcgov.com ten', �1 Fort Collins, CO 80524 970-416-2740 Date Received (� ALL information is REQUIRED. Incomplete applications will not be accepted. -Job Site Address j � � / l Address `� ,6 / '�l(� City/State/Zip ) 414l� i1,6atf5;r� Property Owner form tion giv Name 1`�� J Phone Number 6,i-J- a7 '1 Address 7 A r1la'YJ,a lG eL City/State/ZipAM l///iS L1' RESIDENTIAL a 0 Single Family Detached 0 Townhome(attached) 0 Duplex 0 Apartment/Condo 0 Garage/Other " ,. . ;0 _ • Q COMMERCIAL 0 Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office 0 Retail 0 Restaurant Value of Work 1 / Labor and Materials$ We:56 Scope of Work Sewer line replacement/new Feet to be replaced/installed `fir% Q Water line replacement/new Feet to be replaced/installed Q Gas line replacement/new Feet to be replaced/installed Q Other plumbing work 33 Additional Information 45 ,110141"1"ti v6' 7,7)' "e� (if applicable) ®� / Plumbing Contrac or rnno�r Excavation Company Name I1 bl 8 S'.e,1U6 Address /5 3 Ref f p0 r / City/State/ZipS igh Phone Number 916 � d 257 y'Email LIG iCL ,�,116 °— License Number Z 'f Ili J1g 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. %/ fre)Print Name tfri, Signature 1/��,��— � Date _ _�