HomeMy WebLinkAbout4280 STONERIDGE DR - PERMITS - 9/29/2021Site Address: 4280 STONERIDGE DR
Job Valuation: $3,200.00 Category: Residential
Community Development & Neighborhood SeNices
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#:
Issued Full:
B2107830
09/29/2021
Permit Type: Residential Plumbing
Owner: WHITE MIA J/DAVID L
4280 STONERIDGE DR
Phone: 970-980-1595
FORT COLLINS, CO 80525-0000
Zoning: Front Setback:
Minor Amend#:
Rear Setback:
Plat File#:
Right Setback:
ZBA Case#:
Left Setback:
Zoning District: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Fi ling#: __ _ Lot#: Block#: ___ _
Code: Res sq ft: Ind sq ft: Basement sq ft:
# of Stories:
Com sq ft:
0cc Group:
_____ S~ck~an~
_____ Const Type: ________________ _
Fire Sprklr: Stock plan options: -----
Contractor: MIKE'S PROPERTY SERVICE
133 Regina Drive
License#: ROW-190011 Supervisor Cert#: ____ _
FORT COLLINS, CO 80525
Phone: 970-420-8757
Subcontractor(s):
Plumbing: AGGIE PLUMBING & SERVICE I 970-226-9979
License Number:
MP-515
Work Description: Replace 55' of water line.
SCHEDULE INSPECTIONS : **v ia Text Message: 888-406-6394 **By Phone: 970-221 -6769
Online Porta l : fcgov.com/Ci tizenAccess
Possible Inspections Required: 200 204 102 301 302 300
TOTAL FEES PAID AS OF 9/29/2021: 139.40
***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 with all the requirements contained herein, and City ordinances, and State laws associated w ith 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 July 2021
City of
k tColli~
Site Address: 4280 STONERIDGE DR
Job Valuation: $3,200.00 Category: Residential
Transactions:
Community Development & Neighborhood Services
281 N . College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#:
Issued Full:
82107830
09/29/2021
Permit Type: Residential Plumbing
Method
Credit Card
Ref Number
7697
Date Paid
09/29/2021
Amount Paid Comments
$139.40
Total Paid to Date: =$1..:....:3=9'-'-.4.:..:::0'--__
Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
TOTAL FEES:
Fee Amount
$61.60
$12.80
$65.00
$139.40
Amount Paid
$61.60
$12.80
$65.00
$139.40
Date Paid
09/29/2021
09/29/2021
09/29/2021
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 9/29/2021 : $0.00 ==========
Fee amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised July 2021
Cltyof
' /~ort Collins
~ PLUMBING PERMIT APPLICATION
Community Dev elopment and Neighborhood Services
281 N College b uildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application # ~ t\ D 14' f.?,O
Date Recei ved q , 1}\ -1 \
ALL information is REQUIRED. Incomplete applications will not be accepted.
J o b S ite Address /
Address qz s:-o S/2,J/Jc" uef.)C City/State/Zip # /4~5"'
Property Owner Information
Name 1Jffue v/{,lc: r,
Phone Number ) / 0 -'7 £0 -/C:<:(~
City/State/Zip # &4v-Address y2:"1}-0 ,;-/o/71;' ua1jc
/~ -
(3 Single Family Detached Q Townhome (attached} Oouplex 0 Apartment/Condo Q Garage/Other
0 Bank O Bar O Church O Hotel/Motel Q Medica l Office Q Office
Value of Worl, /
Labor and Materials $ J Za:;J -~-----------
Scop,:, of \'\lo rn
0 s:,wline replacement I new
(Jwater line replacement / new
0 Gas line replacement I new
0 Other plumbing work
Feet to be replaced / installed ________ _
Feet to be replaced / installed ________ _
Feet to be replaced/ installed ________ _
/4 ) ,,.c; / ,b /7'7 / /"I $' £) t::.,c.,, f;) ~"'i'
Additional Information 7 .1 / / t/ )71 " J / J
(if applicable)
ORetail 0 Restaura nt
C ity/State/Zip -~ /4,,d;~ S::
,Qu7 /J/Jr4VC--/2 <2,,u/ ?oA
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.
~/1/'J .,4,C. r· .. -\°,//~ ~
, Print Name ' Signatur~ ~-A Date