HomeMy WebLinkAbout7513 Blue Water Ct - Permits - 05/21/2003Community Planning & Environmental Services
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
JOB SITE ADDRESS7513 BLUE WATER CT
PERMIT TYPE
NSFRD NEW SF DETACHED
Last Name, First, Middle Initial
NILETICH, THOMAS J/MONIKA
w Address City/State
4426 GRAY FOX RD FORT Ct
O Zip Phone No.
80526 402-1491
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B03010 ACCOUNT FEE DATE PAID
PERMIT DATE
05/2. 1 /2003 Lan Check Fee $614.58 4/18/03
PERMIT LEVEL CATEGORY TYPE
ISSU_FUL Single Family Detach Res ui lding Permit w/ Subs — $1 201.43 5/19/03
Type IOccupancy
Wp No. of Stories V Building Height
CO O 1 33
Building Square Footage I Stock Plan/Options
60
140
Z
Right Side Setback Left Side Setback
14.96 15
' • • •
�
tV
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
963 U E
S B F RP R M
Subdivision/PUD
Filing
GREENSTONE PUD 3
GL IN FNB
Lot
101
Block
Lot Area
43915
Parcel No.
8618405101
J
FNE FNP FNM
F D S P I U G P
Company Name
Contractor License No.
MERRIAM CONSTRUCTION
D-198
SWR WTR FR
Address
City/State
6933 WCR 38E
FORT COLLINS CO 80526
F P R E E G
Z
Phone
Supervisor Cert. No.
0
970-226-5752
t
W Mechanical License No.
NORTH. C010RADD AIR H-837
Roofing License No.
ADVANCED ROOFING TECH R-1161 ENNERGY SCORE
O
ZFraming License No.
m Plumbing License No.
NHIINTIFY PIUMBING I H I G MP-265
Concrete License No.
NEW SINGLE FAMILY RESIDENCE WITH UNFINISHED BASEMENT. CONCRETE BY MERRIAM CONST.
ENERGY SCORE
Uj
TOM MILETICH HOMEOWNER / BUILDER - AFFIDAVIT ON FILE
As a conditikn)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 t e date 4ofXpermit or from the date of the last inspection.
A;
Print name of owner/agent ` Signature Date
Jty Sales/Use Tax
t
$4,572.00
5/19/03
;aunty Sales/UseTax
$1,219.20
5/19/03
larkland: Community
$1,983.00
5/19/03
larkland, Neighborhood
$1,781.00
5/19/03
ibrary Capital Exp.
$595.00
5/19/03
leneral Govt. Capt. Exp.
$270.00
5/19/03
lolice Capital Exp.
$147.00
5/19/03
ire Capital Exp.
$213.00
5/19/03
�treet Oversizing: Res.
$1,973.00
5/19/03
arimer County Reg. Road
$164.00
5/19/03
lectric Underground
$669.00
5/19/03
lec: PILOTS
$2,43
5/19/03
lec: Con. Revenue
$40.35
5/19/03
lec: Temp. Pedestal
$93.30
5/19/03
lec: City Energy Tax
$1.21
5/19/03
lec: ST/CO Energy Tax
$1.58
5/19/03
hompson School District
$688.32
5/19/03
tormwater 0ev. Review
$361.19
5/19/03
tormwater: Fossil Creek
$294.70
5/19/03
TOTAL FEES 1 $16,885.29