HomeMy WebLinkAbout2242 CLYDESDALE DR - PERMITS - 8/31/2021 CRYof Community Development&Neighborhood Services
F6rtCollins
281 N. College Ave Fort Collins, - a
970.221.676o 970.224.6134 6i34 -fax
Building Permit#: B2107007
Issued Full: 08/31/2021
Permit Type: Residential Plumbira•g,
Site Address: 2242 CLYDESDALE DR
Job Valuation: $3,000.00 Category: Residential
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Owner: HOWE JARED ROSS/JESSICA
2242 CLYDESDALE DR
FORT COLLINS, CO 80526-1153 Phone: 970-633-0148
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: ASPEN PLUMBING SERVICES LLC License#: MP-765 Supervisor cert#:
245 W. Cty Rd 68
FORT COLLINS, CO 80524 Phone: 970-817-2004
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Subcontractor(s) Phone License Number
Plumbing: ASPEN PLUMBING SERVICES LL 970-817-2004 MP-765
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Work Description: Moving hot/cold copper for shower to tub conversion. Rest of work is cosmetic. Homeowner affidavit on file.
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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 08/31/21: $134.75 Payment method: Credit Card 8020
*Fee Detail Displayed on Next Page I
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.
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Signature: Print Name: Date:
Form Revised Oct 2010 i
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Community Development&Neighborhood Services'
6rt Collins 281 N. College Ave Fort Collins, CO So522
970.221.676 o 970.224.6134 -fax
� T Building Permit##: B2107007
Issued Full: 08/31/2021
Permit Type: Residential Plumbing
Site Address: 2242 CLYDESDALE DR
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#8020 08/31/2021 $134.75
Receipt issued: 08/31/2021 Total Paid to Date: $134.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due:
City Sales/Use Tax 251.122030 $57.75 $57.75 08/31/2021 $0.00.
County Sales/Use Tax 100.217030 $12.00 $12.00 08/31/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 08/31/2021 $0.00
TOTAL FEES: $134.75 $134.75 $0.00
TOTAL BALANCE DUE AS OF 08/31/2021: $0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010 1
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PLUMBING PERMIT APPLICATION
Community Development and Neighborhood Services Application# ��2 L 61110
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740 Date Received 7) • . z
ALL information is REOUIRED.Incomplete applications will not be accepted.
Job Site.Address
Address ��U Z `9��5Cp")� City/State/Zip 1° d gu 6
Property Owner Information
Name p Phone Number q 7 0
Address Z Z y 2 Glc(e3ot e r• City/State/Zip ram' �d I I ^r C 0 $d526
Single Family Detached 0 Townhome(attached) Q Duplex 0Apartment/Condo-- O Garage/Other
Q Bank Q Bar Q Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
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Value of Work.
Labor and Materials$ 3Q00
Scope of Wodi
Q Sewer line replacement!new Feet to be replaced/installed
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0 Water line replacement/new Feet to be replaced/installed
Q Gas line replacement/new Feet to be replaced/installed
Qf0ther plumbing work lMavlvui c'd' �b <o vvsiol
Additional Information
(if applicable)
Plunibing Contractor or Excavation Conipany
Name
Address City/State/Zip
Phone Number Email
License Number
validI hereby.acknowledge that.I have read thisapplidation and stat&that the alboveinformation'is compliete and.ocirrect. l,agree to comply
with a.11 r6quirem.ents contained herein and-city ordinances and state 1�ws r6julating buildingcofistruction. I know that a permit is not
been paid
Signat e Print Name — _ Date