HomeMy WebLinkAbout2019 Rollingwood Dr - Permits/Basement Finish - 04/05/2013�of
t Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1301528
Issued Full: 04/05/2013
Permit Type: Basement Finish
Site Address: 2019 ROLLINGWOOD DR
Job Valuation: $9,104.00 Category: Residential Remodel
Owner: POLAK SCOTT
2019 ROLLINGWOOD DR
FORT COLLINS, CO 80525
Zoning: Frontsetback:
Phone:970-214-9162
Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
Basement sq ft: 500
Contractor: License #: Supervisor cert#:
Phone:
Subcontractorlsl—j 'i Phone License Number
Electrical: ( BENTON-ELECTRIC-L-C' 97b-E -2151 ❑ ME-1148
Mechanical: ROBERTS-HEATING &-AIR 970-8972337 RH-11602_'�
Work D@SCriDtlon: Partial -basement finish of 500 scuare fee�tojincl defamily room and storage area. 562 sq
remain unfinished. Homeowner.affidavi�to`le.Valuation calculated from cost list.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***Bv Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Illnsoections: RE UGP FIR FP RP RM GL IN FNB FNE FNP FNM ■
TOTAL FEES PAID AS OF 04/06113: $427.70 Payment method: Credit Card 002
` 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Scot �olg�
Date: 2013-oy v5
Forth Revised Oct
C'}� O� Community Deuelopment&Neighborhood Seruices
� 28i N. College Ave Fort Collins,CO 80522
Fort Collins 97o.22i.6�6o 9�0.224.6i34 -.f�
Building Permit#: B1301528
Issued Full: 04/05/2013
Permit Type: Basement Finish
Site Address: 2019 ROLLINGWOOD DR
Job Valuation: 9 104.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#002 04/05/2013 $427.70 Paid by Scott Polak cc
Receipt Issued: 04/05/2013 Total Paid to Date: 5427.70
Fee Descriation Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $200.14 $200.14 04/O5/2013 $0.00
City Sales/Use Tax 251.122030 $175.25 $175.25 04/05/2013 $0.00
County Sales/Use Tax 100.217030 $27.31 $27.31 04/05/2013 $0.00
Plan Check Flat Fee $25 1000.444010 $z5.00 $25.00 04/O5/2013 $0.00
" TOTAL FEES: $427.70 $427.70 $0.00
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�\ =-� ' � � � /� `� %TOTAL-BALANCE DUE AS OF-04J05/2013: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.