HomeMy WebLinkAbout904 Camelot Ct - Permits/Basement Finish - 10/21/2010City of
F6rt Collins
Site Address: 904 CAMELOT CT
Job Valuation: $7,014.00 Category: Residential Remodel
Owner: WOLF, JACOB J, III
617 BOULDER CIR
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 988-0499
Building Permit #: B1006778
Issued Full: 10/21/2010
Permit Type: Basement Finish
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
Code: Res sq ft: 618 Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #:
Phone:
Basement sq ft:
Supervisor cert #:
Subcontractor( € 7 r-Phone License Number
L v
Work Descriotion: AFTER -THE FACT BASEMENT-1
OFFICE, FAMILY ROOM, BEDROOM -AND 3/4,.BATR. H
RESPONSIBILITIES HANDOUT ---
SH (STILL —NEEDS FINAL TOUCHES) - 618 SO FT TO INCLODE,,_
EOWNER AFFIDAVIT ON FILE, HOMEOWNER GIVEN HOMEOWNER
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess *"
Inspections: RE UGP FIR FP RP RM GL IN FNB FINE FNP FNM
TOTAL FEES PAID AS OF 10/21/10: $240.75 Payment method: Credit Card
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.
Signature: 6 Print Name: VC-F� Date: 140-Lv/05
Form Revised Oct 2010
F6rtCity of
Collins
Site Address: 904 CAMELOT CT
Job Valuation: $7,014.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 10/21/2010 $240.75
Receipt issued: 10/21/2010 Total Paid to Date: $240.75
Fee Description Account Code Fee Amount
Building Permit Fee w/Subs 1000.422010 $92.48
City Sales/Use Tax 251.122030 $105.21
County Sales/Use Tax 100.217030 $28.06
Plan Check Flat Fee $15 1000.444010 $15.00
TOTAL, FEES:
$240.75
TOTAL BALA
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1006778
Issued Full: 10/21/2010
Permit Type: Basement Finish
Comments
JACOB J. WOLF, III PAID BY CREDIT CARD
Amount Paid
Date Paid
Amount Due
$92.48
10/21/2010
$0.00
$105.21
10/21/2010
$0.00
$28.06
10/21/2010
$0.00
$15.00
10/21/2010
$0.00
$240.75
$0.00
NCE DUE ASVOF-10/21/2010: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.