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HomeMy WebLinkAbout622 PETERSON ST - PERMITS - 9/13/2021I' I ' { ., City of 11:Fort Collins ~ -~ ■,,,,,_--.............______ Community Development & Neighborhood Services 281 N . College Ave Fort Collins, CO 80522 970.221 .6760 970.224.6134 -fa x /r ~ Site Address: 622 PETERSON ST Job Valuation: $3 ,500.00 Category: Residential Owner: CHR ISTIANSEN PETER J/NORA R Phone: 970 TRUSTEES 10957 WHITE CLAY DR Building Permit#: Issued Full : B2107304 09/13/2021 P e rmit Type: Residential Plumbing Zoning: Front Setback: Minor Amend#: Rear Setback ___ R ight Setback Left Setback: Plat File# ____ ZBA Case # Zoning District: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD. f i Cod~: Res sq ft # of Stories: Fi re Sprklr: Com sq ft 0cc Group: Stock plan# Contractor: MIKE'S PROPERTY SERVICE 133 Regina Drive FORT COLLINS , CO 80525 F ilin g#: __ _ Lot# Block #: ___ _ Ind sq ft Basement sq ft: ------Const Type: -----Stock plan options: License #: ROW-190011 Supervisor Cert#: ____ _ Phone: 970-420-8757 i Subcontracto r(s): Plumbing: AGGIE PLUMB ING & SERVICE I 970-226-9979 License Number: MP-515 r I I . ~ 11· j ; 1: !, l !, Wtjr~i Description: Water line re p lacement of 60 ft. I ; I i SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394 Online Portal: fcgov.com/CitizenAccess Possible Inspect ions Required: 200 204 102 301 302 300 TOTAL FEES PAID AS OF 9/13/2021: 146.38 ***Fee Detail Displayed on Next Page **By Phone: 970-221-6769 As a condition for the issuance of a permit. I hereby declare that I am the owner or owner's agent. authonzed to perform the propose(1 work on the prope1iy described herein. I ag ree to comply with all the requirements contained herein, and City ordi nances. 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. Th is 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. ~ ! ! c ktbon Monoxide Alarm required within 15 feet of each bedroom entrance. I ! . Signature: Print Name: Date: Form Revised July 2021 Iii· 1 '1 ii Ii I : /; ' ; I ·i·· • I , I ' I ; , I I 11 City of ktColli~ Site Address : 622 PETERSON ST Jop ,Valuation: $3,500.00 Category: Residential ; I Trai1sactions: ! ' Community Development & Neighborhood Services 1 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax I . I I ! ~ I i · Building Permit#: 82107304i : I ! ! Issued Full: 09/13/20211 : ! !, Permit Type: Residential Plumbing d I I Method Ref Number Trust Account Date Paid 09/13/2021 Amount Paid Comments $146.38 Total Paid to Date: $146.38 Descri Qtion Fee Amount Amount Paid Date Paid City Sales/Use Tax $67.38 $67.38 09/13/2021 County Sales/Use Tax $14.00 $14 .0 0 09/13/2021 Permit Flat Fee -$65 $65.00 $65.00 09/13/2021 TOTAL FEES: $146.38 $146.38 TOTAL BALANCE DUE AS OF 9/13/2021 : i ! 'i I I I I , Amount Due $0.00 $0.00 $0.00 $0.00 $0.00 Ji • 11 . I ! 1· i ' . I I , • I I I j I I f .: ~ I I; i • 1· ,, I , I . l 1 · I I I I 1::' I' ! 1,1! I : I I • I 11 Fee amounts are vali d for date of this document only. Fees subject to change without notice. !j Form Revised July 2021 :I Cityof k!_Solli~ Community Deve lopment and Neighborhood Services 281 N College buildingservices@fcgov.com Fort Collins, CO 80524 970-416-2740 PLUMBING PERMIT APPLICATION Application# __________ _ Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address ,/llrJr(). {!_, h ( I $ f !AN\ ,5-lV\ City/State/Zip fay--¼)\ '-0::5 (p · go~ Property Owner Information Name fvcr~ C:hnsk1t©1-S:6'\,, Phone Number _q>'l~=-6-~~7_7"---'l"---2,__,,_J __ _ Address (, :19-P-e.-kv-soa ..5hCd<A-City/State/Zip ~ n l"1,,._5 &IQ Q RESIDENTIAL ~~ Family Detached Q Town home (attached) Q Duplex Q Apartment/Condo 0 Garage/Other ---, i J - • ,, ~ • Osank Osar Q Church Q Hotel/Motel O Medical Office O Office QRetail 0 Restaurant I Value of Work Labor and Materials$ __ j-"'-·-~_t:J_O ________ _ Scope of Work ----------------- 0 Sewer line replacement / new ~ater line replacement / new 0 Gas line replacement / new I O Other plumbing work Feet to be replaced /installed ________ _ Feet to be replaced / installed _ __.l,OL...CCD'------- Feet to be replaced /installed ________ _ r -------------------------------------------; Additional Information (if applicable) /1-jft-<, (})uwvl,"Lj _ bid / be..., 1nsp~~5 - -----'VJ ___ Ji0v:s·<------- Plumbing Contractor or Excavation Company Name f1,dceb p,,D(J«-k:J S«v ILC:, Address \3'-3 l'.2:e:5\~ O r , I Phone Number ·116 l{j() f'J'f'J City/State/Zi.p Fauk:w hvM.; &>lD 8ll'>i5" Email _ _.J~u@=<?l=' ,:\1:..,..i_;::@=u~<.h::..>--__;e_.'-"/«)-""-'-],-'($>0<....:...Vh-__;;._ ____ _ 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. r I Print Name /V/ (K~_JJff~ l --_j