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846 Balsam Ln - Permits/Addition or Alteration - 07/02/2010
City of Ft Collins Site Address 846 BALSAM LN Job Valuation $1,680 00 Category Residential Remodel Owner VOSS DANIEL R/BARBARA B Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 6760 970 224 6134 -fax Building Permit # B1003938 Issued Full 07/02/2010 Permit Type Residential Addition 846 BALSAM LN FORT COLLINS CO 80526 1902 Phone 484 0238 Zoning Front setback 21 75 Rear setback 0-exist Right setback Minor Amend # Plat File # ZBA Case # Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT Legal Subdivision/PUD Code Res sq ft 0 # of stones _ Fire Sprklr Contractor Left setback 1033 Filing # Lot # Block # Com sq ft Ind sq ft Basement sq ft Occ Group Const Type TYPE V NON RATED Stock plan # Stock plan options License # Supervisor Cert # on r Phone Subcontractor(s)� Phone © License Number "SCHEDULE INSPECTIONS ' By Phone 221.6769 ' By Web http //aaweb fcgov com/CitizenAccess" Inspections SBF FD UGP FIR FP RE RP RM GL IN FNB FNE FNP FNM EG TOTAL FEES PAID AS OF 07/02/10 $69 72 Payment method Check 2438 Fee Detail Displayed on Next Page As a eaidrl on for the issuance of a pem4 I hereby declare that I am the owneror owner's agent, auttm d to perform the proposed work on the property descrbed herein I agree to comply with all Ore requirements contamed herein and City ordinances and State laws assomated with such work I understand that such permit may be revoked in the event that issuance was based on incorted information This permit shall became null and void d the work autlhea¢ed by such permit is riot commenced suspended abandoned or not inspected within 180 days from the date of such pemM Signature w Print Name DAAJ /EL R U06S Date Fort. Revised May ZO10 Fof Site Address 846 BALSAM LN Job Valuation $1,680 00 Category Residential Remodel Transactions Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 6760 970 224 6134 fax Building Permit # B1003938 Issued Full 07/02/2010 Permit Type Residential Addition Method Check Number Date Paid Amount Paid Comments Check CK # 2438 07/02/2010 $69 72 VOSS CK# 2438 Receipt issued 07/02/2010 Total Paid to Date $69 72 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000 422010 $37 80 $37 80 07/02/2010 $0 00 City Sales/Use Tax 251 122030 $25 20 $25 20 07/02/2010 $0 00 County Sales/Use Tax 100 217030 $6 72 $6 72 07/022010 $0 00 TOTAL FEES $69 72 $69 72 $0 00 n❑ CO BALANCE DUE AS OF 07/02/2010 0 00 u 'S a F � t V 1 /1