HomeMy WebLinkAbout1813 CRESTMORE PL - PERMITS - 8/9/2021 i
CRY of Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
IF6rt Collins 970.221.676o 970.224.6154 -fax
Building Permit#: B2106309
Issued Full: 08/09/2021
Permit Type: Residential Plumbing
Site Address: 1813 CRESTMORE PL
Job Valuation: $2,500.00 Category: Residential
Owner: PRESNELL KYLE E
1813 CRESTMORE PL
FORT COLLINS, CO 80521-3317 Phone: 417-894-7108
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: BENJAMIN FRANKLIN PLUMBING License#: MP-598 Supervisor cert#:
4600 Innovation Drive, Ste 102
Fort Collins, CO 80525 Phone: 970-399-9940
Subcontractor(s) Phone License Number
Plumbing: BENJAMIN FRANKLIN PLUMBING 970-399-9940 MP-598
Work Description: Sewer line clean-outs with 20' liner.
ISCHEDULE 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 08/09/21: $123.12 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 Wth all the requirements contained herein,and City ordinances,and State laws associated with such work. 1 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
CRY (Of Community Development&Neighborhood Services
6t� 281 N.College Ave Fort Collins, CO 80522
rt Collins 970.221.676o 970.224.6134 -fax i
Building Permit#: B2106309
`ter Issued Full: 08/09/2021
Permit Type: Residential Plumbing
Site Address: 1813 CRESTMORE PL
Job Valuation: $2,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/09/2021 $123.12
Receipt issued: 08/09/2021 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 08/09/2021 $0.00
County Sales/Use Tax 100.217030 $10.00 $10.00 08/09/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 08/09/2021 $0.00
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TOTAL FEES: $123.12 $123.12 $0.00
TOTAL BALANCE DUE AS OF 08/09/2021: $0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
city of
F&t CoWns
APPLICATIONPLUMBING P,E,RM,,:IT
Community Development and Neighborhood Services d�
281 N College buildingservices@fcgov.com Application# 3
Fort Collins, CO 80524 970-416-2740 Date Received ..2I
ALL information i&REQUIRED.
Job Site Address _
Address . . -� /� �L`.P G CP City/State/Zip F6:fc !u?5
Propertyy Owner Informatio \�
Name \ v V\ Phone Number �'�`� pl: -`-- 210
Address Cam Q 1;6 IN�a cft".0 - City/State/Zip
Single Family Detached Q Townhome(attached) Q Duplex Q Apartment/Condo Q Garage/Other
ar t; Q Bank Q Bar Q Church 0 Hotel/Motel Q Medical Office Q Office Q Retail Q Restaurant
Value of Work
Labor and Materials$
Scope of Work
I !
Sewer line replacement/new Feet to be replaced/installed
Q Water line replacement/new Feet to be replaced/installed
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Q Gas line replacement/new Feet to be replaced/installed j
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Other plumbing work '50usu `�tr�� C �.,��-®�'�e v�9
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Additional Information `
(if applicable)
Plumbing Contractor or Excavation Company _
Name L v!;&),�
Address-qzr2nntA 4Az Cg-tl testy \V` • \ City/State/Zip \`
Phone Number Email
License Number Gfl
requirementsI hereby acknowledge that I have read this applicationah'd state that theabove,information,is complete and correct. I agree t.0.coinply
with all • -• herein and city ordinances and state laws regulating,building construction. I know that,a permit is not
valid been paid
4sp�';'
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Print Name — ��\.� a —_— - _ — —--_ - � Dat ----_-