HomeMy WebLinkAbout124 N GRANT AVE - PERMITS - 8/4/2021 i, II
: y Of Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
ort
Collins 970.221.6760 970.224.6134 -fax
Building Permit#: B2106191
Issued Full: 08/04/2021
Permit Type: Residential Plumbing
Site Address: 124 N GRANT AVE
Job Valuation: $3,200.00 Category: Residential
Owner: COHEN ROBERT E
124 N GRANT AVE
FORT COLLINS, CO 80521 Phone: 970-691-4947
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend#: Plat File#: ZBA Case#:
Zoning district: NCL-NEIGHBORHOOD CONSERVATION -LOW DENSITY 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: Replace 50 ft. of water line 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 08/04/21: $139.40 Payment method: Trust Account
* Fee Detail Displayed on Next Page
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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. 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
Qty- Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F6rt
Collins 970.221.676o 970.224.61S4 -fax
Building Permit#: B2106191 {
Issued Full: 08/04/2021
Permit Type: Residential Plumbing
Site Address: 124 N GRANT AVE
Job Valuation: $3,200.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/04/2021 $139.40
Receipt issued: 08/04/2021 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 08/04/2021 $0.00
County Sales/Use Tax 100.217030 $12.80 $12.80 08/04/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 08/04/2021 $0.00
TOTAL FEES: $139.40 $139.40 $0.00
TOTAL BALANCE DUE AS OF 08/04/2021: $0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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Form Revised Oct 2010
cityof
For, Cdhns
PLUM BINGPERMIT APPLICATION
Community Development and Neighborhood Services
281NCollege buildingoervicoo@fcgoxoom
Fort Collins, COaoo24 870-416'2740
ALL information is REQUIRED.Incomplete applications will not be accepted.
Job Site Address
Address City/State/Zip
Na /
�
Address City/State/Zi
taurant
Value ofWork �l
L/
Labor and Materials$ °~`~
Scope ofWork
'V0 S'e r line replacement new Feet to be replaced installed
Water line replacement new Feet to be replaced installed
i 0 Gas line replacement/new Feet to be replaced installed
10 Other plumbing work
Additional Information
(if applicable)
Plumbing Contractoran
Name
Address
PhonoNumbor Email
License Number