HomeMy WebLinkAbout3633 Rocky Stream Dr - Permits/Single Family New - 11/14/2006Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
�- Fort Collins, CO 80522-0580
c;tyofF phone (970) 221-6760 Fax (970) 224-6134
B0604864
'
ACCOUNT
EE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE 1 �+ 14. o
Plan Check Fee
$198..20
10/12/0
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
s -Building Permit N/ Sub
$-1,651.80
11/14/0
Last Name, First, Middle Initial
ConsrrLction Type
O upancy Gri.T'r)etnCh
City Sales/Use Tax
$6,259.22
11/14/0
Address
City/State
w
p No. of Stories
Building Height
w
Z
3
County-Sales/Use Tax
$1,669.1.3
11/14/0
Zip Phone
No.
Building Square Footage
Stock Plan/Options
0
-
Parkland: Community
$2,062.00
11/14/0
Front Setback Rear
Setback
0
Parkland: Neighborhood
$1,852.00
1111410
Z
Right Side Setback Left
Side Setback
,.
• , • •
L-ibrary.Capital Exp. --...-
$619.00
11/14/0
Plat File No.
ZBA Case Number
Zoning District
015
(See reverse side for Inspection Description)
SBF FD SPI
General Govt. Capt. Ex
. $280.00
11/14/0
Subdivision/PUD
Filing
w
UCP SWO WTR
-Police Capital Exp. -
- .$.1.53.00
11/14/0
Lot
Bock
Lot Area
Parcel No.
Fire Capital Exp.
$222.00
11/14/0
Company Name Contractor
License No.
G
Street Oversizing: Res.
$2,319.00
11/14/0
Address City/State
MEAD,2
Larimer.County Beg. Rod
$164.00
11/14/0
Phone
Supervisor Cert. No.
ZZ
U
Elec: Secondary Servic
-- $573.00
11/14/0
Electrical
License No.
nu rn ro THE
n
Elec: PILOTS
$2.40
11/14/0
Mechanics
License No.ME
o&
O
I:;
CnTNn a n ING
ll HE
1
Elec: Comm. Revenue
$39.81
11/14/0
Roofingni
n n
License No.
m,i AlElec:
E`k.t �' �
Temp.Pedestal -.
-- $124.34
11/14/0
Framin
License No.
Z
i. (9 +�r �'+ U `v+
i nn nenrnnr ran
-- �'
{ '
.Elec: City.Energy Tax
- $1..19.
11/14/0
Plumbin r
License No.
MP ono
i ,
hhh,9`9r9 [[[999 555
Elec: ST/CO.Energy Tax
$1.56
11/14/0
Concrete
License No.
uC n QNGPCTE CON T
Poudre School District
Stormuater Bev. Review
$763.03
$232.37
11/14/0
11/14/0
NEW SINGLE FAMILY HOME, 4 BEDROOMS, 5 BATHROOMS, 3 FIREPLACE,
1243 UNFINISHED BASEMENT &
1816 FINISHED BASEMENT
Stormaater PIF
$11010.01
11 / 14/0
57<
JOB CONTACT ERIC KLEIN/JIM LOHP+ FCJLWD
AIR SEALING CHECKLIST
PRESCRIPTIVE METHOD 3
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,, suspended, abandoned or inspected within 180 days from the date of such pQ mit fr the date of the last inspection.
P��G A &R / � // lelg, TOTAL FEES
Print name of owner/agent Signature Date