HomeMy WebLinkAbout5415 Copernicus Dr - Permits/Single Family New - 08/11/2006Community Planning & Environmental Services
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Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JJOB SITE ADDRESS
PERMIT TYPE
Last Name, First,
at
ZAddress
3
o Zip
AM 9n
Front Setback
Z_ Right Side Setbac
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0 Plat File No.
Subdivision/PUD
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w Lot
J
' Company Name
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BUILDING PERMIT ,
Building Valuation
B0603580 ACCOUNT FIE DATEPAID
PERMIT DATE
CATEGORY
Construction Type
LU
City/State 0 No. of Stories
0
No. Building Square Footage
Left Side Setback
6.2
ZBA Case Number Zoning District
Filing
BE I Lot Area Parcel No.
License No.
License No.
icense No.
LU
Building Height
(See reverse side for Inspection Description)
SBF
RP
RM
GL
IN
FNB
FNE
FNP
FNM
FD
SPI
UCP
SWR
WTR
FIR
FP
RE
EG
License No. " 1-
License No. Alk
License No. ➢dp
NEW SINGLE FAMILY RESIDENCE WITH 866 SQ FT UNFINISHED BASEMENT AND ATTACHED 2 CAR GARAGE
STOCK PLAN 1653 SPA-ENEGYSMITHS FLCWD
JOB CONTACT - TOM NEVIN RADON MITIGATION INSTALLED
Plan Check Fee
$186.
0
7/25/0
Building Permit w/ Subs
$799.
0
8/11/0
City Sales/Use Tax
$2,783.
24
8/11/0
County Sales/Use Tax
$742.
0
8/11/0
Parkland: Community
$1,694.
0
8/11/0
Parkland: Neighborhood
$1,521.
0
8/11/0
Library Capital Exp,
$508.
0
8/11/0
General Govt. Capt. Exp
$230.
0
8/11/0
Police Capital Exp.
$126.
0
8/11/0
Fire Capital Exp.
$182.
0
8/11/0
Street Oversizing: Res,
$2,319.
0
8,/11/0
Lariwer County Reg. Road
$164.
0
8/11/0
Elec: Secondary Service
_ $436.
0
_ 8/11/0
Elec: PILOTS
$2.
0
8/11/0
Elec: Corns. Revenue
$39.
31
8/11/0
Elee: Top. Pedestal
$124.
4
8/11/0
Elect City Energy Tax
_$1.19
8/11/0
Efee: ST/CO Energy Tax
$1.
fi
8/11/0
Water PIF
$2,900. 77
8/11/0
Poudre School District
$763,
3
8/11/0
Storawater Dev, Review
$116.
2
8 / 11 / 0
Stormwater PIF
$544. 19
8/11/0
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 s from the date of su p it or from the date of the last inspection.
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Print name of owner nt /age Signature Date TOTAL FEES