HomeMy WebLinkAbout3450 Lost Lake Pl - Permits/Basement Finish - 06/21/2010�.F�ort Collins
Site Address 3450 LOST LAKE PL, G 3
Job Valuation $25,724 00 Category
Owner PENDLETON JASON H
3450 LOST LAKE PL UNIT G3
FORT COLLINS CO 80528
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 6760 970 224 6134 fax
Residential Remodel
Phone 217 5794
Building Permit# B1003842
Issued Full 06/21/2010
Permit Type Basement Finish
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district LMN LOW DENSITY MIXED USE NEIGHBORHOOD DISTRICT
Legal Subdivision/PUD
Code Res sq ft 0
# of stones _
Fire Sprklr
Contractor
Electrical
Mechanical
Plumbing
_ Com sq ft _
_ Occ Group _
Stock plan #
C: �
W
Work Description HOMEOWNER TO
UTILITY ROOM AND BATHROQM—OWI
Filing # Lot # 3 Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
(71 License # Supervisor cert #
%—ram , r
FILE
ENT TO INCLUDE BEDROOM LIVI
"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 06/21/10 740 01 Payment method Check 2904
Fee Detail Displayed on Next Page
Asa oondrbon for the issuance of a penes, ) hereby declare that I am the owneror owners agent, aulhor¢ed 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 rf the work authored by such permit is not commenced
suspended abandoned or not inspected wrthn 180 days from the date of such permrL
Signature Prmt Name -) &iV PCA1& c 7C1,y Date 6
Forth Revised M 2010
$740 01
City, Collins
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
970 221 676o 970 224 6134 fax
Budding Permit # B1003842
Issued Full 06/21/2010
Permit Type Basement Finish
Site Address 3450 LOST LAKE PL, G 3
Job Valuation $25,724 00 Category Residential Remodel
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK # 2904 06/21/2010
$740 01
PENDLETON CK# 2904
Receipt issued 06/21/2010 Total Paid to Date
$74001
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000 422010
$236 25
$236 25
06/21/2010
$0 00
City Sales/Use Tax 251 122030
$385 86
$385 86
06/21/2010
$0 00
County Sales/Use Tax 100 217030
$102 90
$102 90
06/21/2010
$0 00
Plan Check Flat Fee $15 1000 444010
$15 00
$15 00
06/21/2010
$0 00
TOTAL FUEES $740 01
H �� L, TOTA
C
$0 00
0 00
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