HomeMy WebLinkAbout5403 Roma Valley Ct - Permits/Basement Finish - 05/05/2011City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1101899
Issued Full: 05/05/2011
Permit Type: Basement Finish
Site Address: 5403 ROMA VALLEY CT
Job Valuation: $40,905.00 Category: Residential Remodel
Owner: MYERCHIN, STEVEN P & VIRGINIA
5403 ROMA VALLEY CT
FORT COLLINS, CO 80525 ! Phone: 970-377-1027
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan M Stock plan options:
Contractor: ; f License #: Supervisor cert M
\ Phone:
Subcontractor,(sj - Phone
Lj
Work DescriDtion: AFTER'THE-T- FACBASEMENT_ FINISH - 1:
WITH FIREPLACE AND WET BA-3/4_BATH--STORAGE -PART
REQUEST FOR INSPECTION ON CONCEALED CONSTRUCTION
License Number
;a -FT TO INCLUDE ONE BEDROOM - FAMILY F
Y FINISHED MECHANICAL ROOM - RECEIVED
** SCHEDULE INSPECTIONS
*** By
Phone:
221-6769
*** By
Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: RE UGP FR FP RP
RM
GL IN
FNB FNE
FNP
FNM
TOTAL FEES PAID AS OF 05/05/11: $342.38 Payment method: Cash
" 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.
Si nature: APrint Name: I I l
Form Revised Oct 2010
City of
F6rt Collins
/0"�
Community Development & Neighborhood Services
281 N. CollegeAue Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 5403 ROMA VALLEY CT
Job Valuation: $40,905.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid
Cash 05/05/2011 $342.38
Receipt issued: 05/05/2011 Total Paid to Date: $342.38
Fee Description _ Account Code Fee Amount
Building Permit Fee w/Subs .1000.422010 $327.38
Plan Check Flat Fee $15 1000.444010 $15.00
Building Permit #: B1101899
Issued Full: 05/05/2011
Permit Type: Basement Finish
Comments
PDWITH CREDIT CARD OF VIRGINIA MYERCHIN
Amount Paid Date Paid Amount Due
$327.38 05/05/2011 $0.00
$15.00 05/05/2011 $0.00
TOTAL FEES: $342.38 $342.38 $0.00
TOTAL BALANCE DUE AS OF 05/05/2011: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.