HomeMy WebLinkAbout2712 Blackstone Ct - Permits/Basement Finish - 04/08/2011City of Community Development & Neighborhood Services
281 N.
F6rt
`r College Ave Fort Collins, CO 80522
Collins970.221.676o 970.224.6134 -.fax
Building Permit #: B1101440
�-- Issued Full: 04/08/2011
Permit Type: Basement Finish
Site Address: 2712 BLACKSTONE CT
Job Valuation: $5,779.66 Category: Residential Remodel
Owner: THIEMANN, MICHAEL
2712 BLACKSTONE CT
FORT COLLINS, CO 80525-6105 Phone: 970-377-3225
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: STONE RIDGE PUD Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert #:
Phone:
Subcontractor(s) - - 1,%' Phone i_ License Number
t I
t .
i
Work Description: PARTIAL BASEMENT FINISH ADD -LIVING ROOM -AND BATHROOM. (2 BEDROOMS ARE IN -
CONSTRUCTION ON PERMIT'B#1007113) HOMEOWNER AFFIDAVIT ON FILE.
II ** 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 04/08/11: $225.67 Payment method: Check 2205
*' Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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: Print Name: �(9� (U!(��. �ti Date: �`/
Form Revised Oct 2010
F6rtCity of
Collins
Site Address: 2712 BLACKSTONE CT
Job Valuation: $5,779.66 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Check CK # 2205 04/08/2011
Receipt issued: 04/08/2011 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
TOTAL FEES:
Amount Paid
$225.67
$225.67
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1101440
Issued Full: 04/08/2011
Permit Type: Basement Finish
Comments
PAID BY MICHAEL THIEMANN CK #2205
Fee Amount Amount Paid
$76.28
$76.28
$111.27
$111.27
$23.12
$23.12
$15.00
$15.00
$225.67
$225.67
TOTAL -BALANCE DUE A
Date Paid
Amount Due
04/08/2011
$0.00
04/08/2011
$0.00
04/08/2011
$0.00
04/08/2011
$0.00
$0.00
1: 19.00
I
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.