HomeMy WebLinkAbout1305 W MULBERRY ST - PERMITS - 9/23/2021:i-
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City of
~ort Collins
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Community Development & Neighborhood SeNices / II :
281 N . College Ave Fort Collins, CO 80522 ,
970.221.6760 970.224.6134 -ta1! j 1
---....______ Building Permit#: B2107705-I i I:
Issued Full: 09/23/2021! 1
Perm it Type: Residential Plumbi,,~_-. j. 11
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Site Address: 1305 W MULBERRY ST
Job Valuation: $100.00 Category: Residential --------
Owner: HJI LLC
' ' I 500 E OAK ST
Pho n e: 970-222-8136 ., l i FORT COLLINS, co 80524-2948
Zo ng: Front Setback Rear Setback :
Minor Amend #.
Zo nin g Dist ri ct:
Plat File#:
RL -LOW DENSITY RESIDENTIAL DISTRICT
Right Setback
ZBA Case#·
Left Setback.
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Legal:
Code:
Subd1v1s1on/PUD .
Res sq ft:
Filing#· ___ Lot# Block# ____ I j
# of Stones:
Com sq ft
0cc Group:
_____ Ind sq ft: Basement sq ft: _____ :! , l
_____ Const Type: ,
1
Fir e Sprkl r Stock plan #:
Contractor: BAC KBONE MECHANICAL INC.
6825 Mount Toll Ct
Stock plan op-tio_n_s __ --------------![ I
---L-ic_e_n-se #: MP-952 S upervisor Cert#· NIA -MP !' j i 1 ! 1 !
Well ington, CO 80549 Phone: 970-222-2383 'i! ·j · j i 1
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Subcontractor(s ):
PluInbing.
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BACKBONE MECHANICAL INC.
License Number:
970-222-2383 MP-952
Work Description: Excel permit, corrections to be made : replace water heater flex connecti on/va lv e. replace dry gas connection to
repa 1I· gas leaks
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Online Portal: fcgov.com/CitizenAccess
!Possible Inspections Required 200 204 102 301 3 02 300
;rbt~L FEES PAID AS O F 912312021: 67.33 ••t~e Detail Displayed on Next Page
As al 6ondition for the issuance of a permit, I h ereby declare that I am the owner or owner's agent. authorized to perform the proposed work on the
preperty described herein. I agree to comply with all the requirements contai n ed herein . and City ordinances. and State laws ;.issociated with such
w ork. I understand that such permit may be revo ked in the event that issuance was based on incorrect information T his permit shall become null ancl
void 1f the work authorized by such permit is not commenced. suspended, abandoned or not inspected w1thm 180 days from the date of such permit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
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Form Revised July 2021 ,
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City of
~ort Collins
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Site Address: 1305 W MULBERRY ST
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Community Development & Neighborhood Service \ .
281 N. College Ave Fort Collins, CO 8052 ,I : 1
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970.221 .6760 970.224.6134 -fax
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Bui! ding Perm it #: B210770~ ~ ti'(
Issued Full: 09/23/20i11 llt f j J
Permit Type: Res idential Plumbing 1
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Job Valuation: $100.00 Category : Res idential
Transactions:
Method
Cred it Card
Ref Number
4763
Date Paid
09/23/2021
Amount Paid
$67.33
Comments
Total Paid t o Date: =$6"""7'-'_-=-3=3 ___ _
Description
Ci ty Sales/U se Tax
cdu1rity Sales/Use Tax
::P,~it Flat Fee · $65
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TOTAL FEES:
Fee Amount
$1.93
$0.40
$65.00
$67.33
Amount Paid
$1.93
$0.40
$65.00
$67.33
Date Paid
09/23/202 1
09/23/2021
09/23/2021
TOTAL BALANCE DUE AS OF 9/23/2021 :
Amount Due
$0 00
$0.00
$0 00
$0.00
$0.00
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Fee amounts are valid for date ofthis document only. Fees subject to change without notice. :i 11~ I I r
Fo,m Re,;s,d J,ly 2021 1: i)rl' • _i
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City of
/~ort Collins
~ PLUMBING PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins , CO 80524 970-416-27 40
Application# \32 l O 7? 05"
Date Received 1. Z.3. :z,I
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address , 3 . r
Address { O.:> City/State/Zip P[z. I ct) (3 os d-I
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Phone Number _____,.q --'-11)_-__,,__} f'---"-'J---0-=--->-/-'---) b_
City/State/Zip rrc ( lo g DS) y
/' ~ Single Family Detached O Townhome (attached) 0 Duplex 0 Apartment/Condo O Garage/Other
0 Bank O Bar O Church O Hotel/Motel O Medica l Office O Office
Value of Work I bf), Q2_
Labor and Materials$ _ ___, ___ , _______ _
Scop<" of Work
0 Sewer line replacement / new
0 Water line replacement I new
Feet to be replaced / installed _______ _
Feet to be replaced / installed _______ _
Feet to be replaced / installed _______ _
ORetail 0 Restaurant
0 Gas line replacement / new
~ Other plumbing work -fl£lt,,ttc ([ w1}}&, /t8r6fl htx-Co/11/llr?z-rtoN/V tfrVf
-rf(E/ lfLlf 0 rL Y G /t-S [o/f//10-ifJ')N,
Additional Information
(if applicable)
1D r/l (1P ftfiL C k5 l 0 ,t~
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Address _ _._(-11--f=_,.~...___I, ____,(S=--. _(v{t:__,______G (VD'----_L-_,_J_,_A_---=-5_·T_____ City/State/Zip O O ,--} Y
Phone Number q1]) --{J{o _fJD°o J Email f}ll;ZK/!;v&€ftz£i(IMJ;lf/& (;Mh'L .toh
License Number _____________ _
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply
with all requirements contained herein and city ordinances and state laws regulating building construction . I know that a permit is not
valid until it has been paid and issued.
/:
. Print Name
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/II/ WV ;rz(Z(( I Signature Date Cf()}/} {