HomeMy WebLinkAbout5421 Northern Lights Dr - Permits/Basement Finish - 03/26/2009,,F,�`o'rt�of
Site Address: 5421 NORTHERN LIGHTS DR
Job Valuation: $30,300.00
Category: Residential Remodel
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0901701
Issued Full: 03/26/2009
Permit Type: Basement Finish
Owner: ROBERTSON, MATTHEW L/ELISABETH
5421 NORTHERN LIGHTS DR
FORT COLLINS, CO 80528 Phone: 970-377-0277
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: LMN Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD: Filing #: Lot #: 306 Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor:
Subcontractor(s)
Const Type:
Stock plan options:
License #:
Phone:
Phone
Supervisor cert #:
License Number
Work Description: BASEMENT FINISH OF 1000 SQUARE FEET TO INCLUDE 2 BEDROOMS, 1 BATHROOM, GAME
AREA, HOME THEATRE AREA AND WET BAR. WITH STRUCTURAL ENGINEERING ATTACHED MODIFICTION TO
STAIRS. HOMEOWNER AFFIDAVIT ON FILE. HOMEOWNER RECEIVED BASEMENT HANDOUT.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: RE UGP FIR FP RP RM GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 03/26/09 $857.33 Payment method: Check 1740
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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 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.
Signature Print Name: Ell�� qb)�(Aw Date: 42( Xyd, �` I
Form Revise 008
City of
F6rt Collins
Site Address: 5421 NORTHERN LIGHTS DR
Job Valuation: $30,300.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid
Check CK # 1740 03/26/2009 $857.33
Receipt issued: 03/26/2009 Total Paid to Date: $857.33
Fee Description Account Code Fee Amount
Building Permit Fee w/Subs 1000.422010 $266.63
City Sales/Use Tax 251.122030 $454.50
County Sales/Use Tax 100.217030 $121.20
Plan Check Flat Fee $15 1000,444010 $15.00
TOTAL FEES: $857.33
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0901701
Issued Full: 03/26/2009
Permit Type: Basement Finish
Comments
PAID BY ROBERTSON CK #1740
Amount Paid
Date Paid
Amount Due
$266.63
03/26/2009
$0.00
$454.50
03/26/2009
$0.00
$121.20
03/26/2009
$0.00
$15.00
03/26/2009
$0.00
$857.33 $0.00
TOTAL BALANCE DUE AS OF 03126/2009: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.