HomeMy WebLinkAbout4031 CAPSTONE CT - PERMITS - 8/2/2021 CRY of' Community Development&Neighborhood Services
F 281 N. College Ave Fort Collins, CO 80522
^rt Collins
970.221.676o 970.224.6i 34 -fax
�,/ Building Permit#: B2106111
Issued Full: 08/02/2021
Permit Type: Residential Plumbing
Site Address: 4031 CAPSTONE CT
Job Valuation: $3,200.00 Category: Residential
Owner: ELLIS MATTHEW
4031 CAPSTONE CT
FORT COLLINS, CO 80525-5624 Phone: 720-231-2022
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 50 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 08/02121: $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
QCommunity Development&Neighborhood Services
F6rf
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ollins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B2106111
Issued Full: 08/02/2021
Permit Type: Residential Plumbing
Site Address: 4031 CAPSTONE CT
Job Valuation: $3,200.00 Category: Residential
Transactions j
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/02/2021 $139.40
Receipt issued: 08/02/2021 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 08/02/2021 $0.00
County Sales/Use Tax 100.217030 $12.80 $12.80 08/02/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 08/02/2021 $0.00
TOTAL FEES: $139.40 $139.40 $0.00
TOTAL BALANCE DUE AS OF 08/02/2021: 0.00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
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C
ity Of
Community Development and Neighborhood Services
281 NCo|lego buildingaominen@fcgoxnnm Application#
| Fort Collins, CO8O524 870-416-2740 Date Received
ALL,infortnation is REQUIRED.Incomplete applications,will not be accepted.
Job Site Address
�
Address c|ty/Suate/Z/
Property Owner Inf r nt,
Mill
Name Phone Number
Addnuno Qty/Gtote/Zip�ingle F 0 Townhome(attached) 0 Duplex 0 Apartment/condo 0 Garage/Other
0 Bank 0 Bar 0 Church 0 Hotel/Motel Medical Office 0 office 0 Retail 0 Restaurant
Value ofWork
Labor and Materials$
Scope ofWork
L)Sewer line replacement/new Feet to b | d installed
evater line replacement new Feet to be replaced installed
0 Gas line replacement new Feet to be replaced installed
0 Other plumbing work
Additional Information
(if applicable)
� Plumbing Contractor or ExcavAtion
Name P"10/ri floo-(A :�,MCZ)
Phone Number Email