HomeMy WebLinkAbout4030 CAPSTONE CT - PERMITS - 7/29/2021 City
of Community Development&Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B2105999
Issued Full: 07/29/2021
Permit Type: Residential Plumbing
Site Address: 4030 CAPSTONE CT
Job Valuation: $3,200.00 Category: Residential
Owner: PHANEUF AARON J
4030 CAPSTONE CT
FORT COLLINS, CO 80525-5624 Phone: 970-821-6557
Zoning: Front setback: Rear setback: 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: 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
Work Description: Water line replacement of 40 ft. in yard.
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 07129/21: $139.40 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
City ®f Community Development&Neighborhood Services
® 281 N. College Ave Fort Collins, CO 80522
F6rt Collins 970.221.676o 970.224.6184 -fax
Building Permit#: B2105999
Issued Full: 07/29/2021
Permit Type: Residential Plumbing
Site Address: 4030 CAPSTONE CT
Job Valuation: $3,200.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 07/29/2021 $139.40
Receipt issued: 07/29/2021 Total Paid to Date: $139.40
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $61.60 $61.60 07/29/2021 $0.00
County Sales/Use Tax 100.217030 $12.80 $12.80 07/29/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 07/29/2021 $0.00
TOTAL FEES: $139.40 $139.40 $0.00
TOTAL BALANCE DUE AS OF 07/29/2021: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
PLUMBING PERMIT APPLICATIO�N
Community Development and Neighborhood Services Application#
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740 Date Received 7�.
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address G
Address t� �� yl. v� City/State/Zip 0( C (A
Propar y Owner ,G1�
Name 4W. /?pi'1(k /J r jp Phone Number D/
Address J�/'tt`'i City/State/Zip /t,
----------------------
L w'�tc7" rE?tR Single Family Detached Q Townhome(attached) Q Duplex 0Apartment/condo Q Garage/Other
---------- ------------ ----------
Q Bank 0 Bar Q Church Q Hotel/Motel Q Medical Office Q Office Q Retail Q Restaurant
Value of Work
Labor and Materials$
Scope of Wort:
O Sewer line replacement/new Feet to be replaced/installed
Q' -ater line replacement/new Feet to be replaced/installed
i
jQ Gas line replacement/new Feet to be replaced/installed
O Other plumbing work
i
i
Additional Information
(if applicable)
Plumbing Contractor or ExcX16"44
tion Co pan
Name <
Address City/State/Zip ld7s '
Phone Number �[!J !fit/ i} / Email '+2` v� !
License Number
hereby • -••- that,I have read this application and state that the above information is complete and co agreeto comply
requirementswith all • -e herein and city ordinances and state laws regulating building • • know that a permit is not
valid until Jt has been paid and issued.
I j
Print Name Signature �9 " ' Date
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