HomeMy WebLinkAbout624 Lupine Dr - Permits/Mobile Home - 10/06/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE
Last Name, First, Middle Initial
HOLM UND,
I
ZAddress
RAWAHC
Y
O2708
zip
80526
Front Setback
0
8.5
Z_
Right Side Setback
Z
6
N
Plat File No.
538-4
J
a
w Lot
J
Company Name
C 11 i
Address
Z Phone
BUILDING PERMIT
Building Valuation
B0305631 ACCOUNT
PERMIT DATE
PERMIT LEVEL CATEGORY TYPE
Manufactured Home ISSU_FUL Mobile Home
Construction Type I Occupancy Group
City/State a No. of Stories Building Height
FORT COLLINS CO 0 1 12
Phone No. V Building Square Footage Stock Plan/Options
214-3454
Rear Setback
16
Left Side Setback
ZBA Case Number Zoning District
Filing
AT REDWOOD REPLAT
Block Lot Area F
1 3737
Contractor License No.
I
City/State
LOVELANO
Supervisor Cert. No.
4 [
RL (See reverse side for Inspection Description)
SBF
GL
FN8
FNE
FNP
FNM
SPI
IV
rD
SWR
WTR
Ec
d. Mechanical License No.
0
URoofing License No.
H
Z Framing License No.
� Plumbing License No.
✓) 281111PS NUMBING T MP 951
Concrete License No.
New single family home (SET 1040 SQ FT MOBILE HOME ON NEW CRAWL SPACE FOUNDATION) WITH
ATTACHED 13' X 20' GARAGE.
SUDBECK COMPANY TO DO FRAMING. ROOFING & CONCRETE
w
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 th to of such permit or from the date of the last inspection.
Plan Check Fee
Building Permit w/ Subs
Glty Sales/Use Tax
County Sales/Use Tax
Parkland: Community
Parkland: Neighborhood
Library Capital Exp.
General Govt. Capt. Exp.
Police Capital Exp.
Fire Capital Exp.
Street Dversi%ing: Res.
larimer County Reg. Road
Electric Underground
Eiec: PILITS
Eiec: Comm. Revenue
Elec: Temp. Pedestal
Eiec: City Energy Tax
Elec: ST/C0 Energy Tax
Construction, Water
Water PIF
Water Meter
Sewer PIF
Water 6% PILOT Fees
Poudre School District
Stormwater Bey. Review
FEE
$151.7
$315.2
$582.1
$155.2
$1,204.0
$1,081.0
$361.0
$164.0
$89.V
$129.0
$1,973.V
$164.0
$428.V
$2.4
$40.3
$93.3
$1.2
$1.5
$12.nu
$1,805.8
$96.3
$1,030.0
$0.7
$763.0
$43.1
DATE PAID I
8 /27 /03
lC/6/03
10/ 6/03
10/6/03
10/6103
10/6/03
10/6/03
10/6/03
10/6/03
1V/6/03
10/6/03
10/6/03
10/6/03
1V/6/C3
10/6103
10/b/03
1C/6/V3
10/6/03
V/6I 'i
10/6/03
10/6/03
10/6/03
10/ 6/03
10/6/03
1V/6/03
i rt c c rV% Vol ✓ /o - oc— 03
Print name of owner/agent Sign ture Date TOTAL FEES
$11,440.5