HomeMy WebLinkAbout821 Province Rd - Permits/Basement Finish - 12/28/2010of
F6rtins
Site Address: 821 PROVINCE RD
Job Valuation: $4,363.20 Category: Residential Remodel
Owner: BENSON, JONATHAN G
821 PROVINCE RD
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 970-377-2480
Building Permit #: 131008197
Issued Full: 12/28/2010
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: PROVINCETOWNE PUD 2ND FILING
Code: Res sq ft: 0
# of stories: _
Fire Sprklr:
Filing #: Lot #: 270 Block #:
Com sq ft: Ind.sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan M Stock plan options:
Contractor:
License #:
Phone:
Subcontractor;(s)—=// Phone ' License
LF
I
Work Description: PARTIAL BASEMENTFINISHOF144 SQ FTT,TO`INCLUDE A BEDROOM.
Supervisor cert #:
Number
/113)
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess *'
Ilnspections: RE UGP FIR FP RP RM GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 12/28/10: $166.10 Payment method: Credit Card
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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.
Signaty Print Name: VA,&iZia-✓ 1,*feAIC,,� Date: -7—
Form Revised Oct 2010
City of
F6rt Collins
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Site Address: 821 PROVINCE RD
Job Valuation: $4,363.20 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Credit Card 12/28/2010
Receipt issued: 12/28/2010 Total Paid to Date:
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Plan Check Flat Fee $15 1000.444010
Amount Paid
$166.10
$166.10
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1008197
Issued Full: 12/28/2010
Permit Type: Basement Finish
Comments
BENSON,JONATHAN G
Fee Amount Amount Paid
$68.18
$68.18
$65.46
$65.46
$17.46
$17.46
$15.00
$15.00
TOTAL FEES: $166.10
r�
I
j
$166.10
Date Paid
Amount Due
12/28/2010
$0.00
12/28/2010
$0.00
12/28/2010
$0.00
12/28/2010
$0.00
$0.00
E DUE AS -OF 12/28/2010: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.