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544 Jansen Dr - Permits/Basement Finish - 06/28/2010
F,�rt Collins Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 8o522 97o 221 676o 97o 224 6134 fax Site Address 544 JANSEN DR Job Valuation $17,695 00 Category Residential Remodel Owner ASRAT ATAGE 544 JANSEN DR FORT COLLINS CO 80525 Phone 227 9545 Budding Permit # B1004048 Issued Full 06/28/2010 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 stories _ Fire Sprklr Contractor _ Com sq ft _ _ Occ Group _ Stock plan # C'P', i v7 Filing # Lot # 313 Block # _ Ind sq ft _ Const Type _ Stock plan options 9 License # raI r Phone Basement sq It Supervisor cert # Subcontractor(s�-1 Phone © License Number w F C U0 fie - ~+� Work Description BASEMENT FINISH_584 SQ F.-T TOf NCLUDE F FAMILY ROOM BEDROOM STORAGE AREA AND FULL BATH HOMEOWNER AFFIDAVIT ON FILE r" f '* SCHEDULE INSPECTIONS ' By Phone 221-6769 * By Web http //aaweb fcgov com/CitizenAccess Inspections RE UGP FIR FP RP RM GL IN FNB FNE FNP FNM TOTAL FEES PAID AS OF 06/28/10 524 70 Payment method Check 1288 " Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby dedare that I am the owneror owner's agent, authorized to perform the proposed work on the property desonbed herein I agree to comply with all the requirements contained herein and City ordinances and State laws associated with such work 1 understand that such permit may be revoked in the event that issuance was based on incorrect information This permit shall become null and void d the work authorized by such permit is not commenced suspended abandoned or rot inspected within 180 days from the date of such permit. cz:Signature Print Name E h� VDate Forth Revised May 2010 $524 70 $0 00 �t Collins Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 8o522 97o 221 676o 97o 224 6134 fax Site Address 544 JANSEN DR Job Valuation $17,695 00 Category Residential Remodel Transactions Budding Permit # B1004048 Issued Full 06/28/2010 Permit Type Basement Finish Method Check Number Date Paid Amount Paid Comments Check CK # 1288 06/28/2010 $524 70 ATAGE ASRAT PD CK#1288 Receipt issued 06/28/2010 Total Paid to Date $524 70 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000 422010 $173 48 $173 48 06/28/2010 $0 00 City Sales/Use Tax 251 122030 $265 44 $265 44 06/28/2010 $0 00 County Sales/Use Tax 100 217030 $70 78 $70 78 06/28/2010 $0 00 Plan Check Flat Fee $15 1000 444010 $15 00 $15 00 06/28/2010 $0 00 TOTAL -FEES $5; Yf7 TOT. 1l (a