HomeMy WebLinkAbout1630 NORTHBROOK DR - PERMITS - 4/15/2021City of
k tColli~
Site Address: 1630 NORTHBROOK DR
Job Valuation: $1,161.82 Category: Residential
Owner: SULLIVAN TO:::>D M/REBECCA L
1630 NORTHBROOK DR
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2102675
Issued Full: 04/1 5/2021
Permit Type: Residential Plumbing
FORT COLLINS. CO 80526 Phone: 970-217-5033
Zoning: Front setback: Rear setback: Right setback: Left setback: -----Minor Amend #: ______ Plat File #: ZBA Case#:
Zoning d istrict: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#
Cod e: Res sq ft: ____ Corn sq ft:
# of stories: ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: JT PLUMBING SERVICES, LLC
4211 S. M,;son St, Unit B
Fort Collins, CO 80525
Subcontractor(s)
Plumbing JT ::,LUMBING SERVICES, LLC
--------
Ind sq ft: ______ Basement sq ft: _______ _
Const Type: ..,.,---------------------Stock plan options: ------------------
License #: MP-989 Supervisor cert#:
Phone: 970-402-1036
Phone
970-402-1036
License Number
MP-989
Work Description: lnstalla~ion of 20 ft gas line to interior of house.
SCHEDULE INSPECTIONS: ** via Text Message : 888-406-6394 ** By Phone : 970-221-6769
** On line Portal : fcgov.com /CitizenAccess ** Online Porta l via Mobile Device: fcgov .com/CitizenAccess/mobile
Possible Inspections Required: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 04/15/21: $92.02
** Fee Detail Displayed on Next Page
Payment method: Credit Card 6769
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 permi t may be
revoked in the event that issuance was based on incorrect information. This permit sha ll 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
City of
k tColli~
Site Address: 1630 NORTHBROOK DR
Job Valuation: $1,161 .82 Category: Residential
Transactions
Method
Credit Card
Check Number
CK# 6769
Date Paid
04/15/2021
Receipt issued: 04/15/2021 Total Paid to Date:
Fee DE~scription
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
Account Code
251 .122030
100.217030
1000.422010
TOTAL FEES:
Amount Paid
$92 .02
$92.02
Fee Amount
$22.37
$4.65
$65.00
$92.02
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82102675
Issued Full: 04/15/2021
Permit Type: Residential Plumbing
Comments
Amount Paid
$22 .37
$4 .65
$65.00
$92.02
Date Paid
04/15/2021
04/15/2021
04/15/2021
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 04/15/2021:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
PLUMBING PERMIT APPLICATION
CoMmurvty De\lelOpmellt and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort CollllS CO 80524 970-416-2740
Application# 3 _11-01.Jtl:)
Dat0Rece1ved 4.-(>--10~\
ALL ,nformation ,s REQUIRED. Incomplete applicattons will not be accepted.
Job S Mtlrea
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PhoneNutnber g 7o -!18-1'713
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