HomeMy WebLinkAbout620 W Prospect Rd - Permits/Change of Use - 11/14/2011of
F6rt,Collins
Site Address: 620 W PROSPECT RD
Job Valuation: $3,750.00 Category: Rooming/Boarding House
Owner: SWANSTROM, JAMES R
400 CORMORANT CT
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1102117
Issued Full: 11/14/2011
Permit Type: Residential Alteration
Phone:970-567-1327
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: 1600-18 ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: DS CONSTRUCTORS LLC
3780 N GARFIELD S-101
LOVELAND, CO 80538
Subcontractor(s)
Electrical: FISKE ELECTRIC
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type: TYPE V - NON RATED
Stock plan options:
License #: B-388 Supervisor cert#: 2461-B
Phone:
Phone License Number
970-667-9569 ME49
Work Descriotion: CHANGE OF USE PERMIT TO CONVERT A SINGLE FAMILY RESIDENCE INTO A 5 BEDROOM EXTRA
OCCUPANCY ROOMING HOUSE APPROVED ON DEVELOPMENT PLAN 51-05/A - UPGRADE ELECTRICAL OUTLETS FOR 3
WIRE, NO OTHER MODIFICATIONSAO EXTERIOR CHANGES
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: EG RM SBF FD UGP FIR FP RE RP GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 11/14/11: $276.20 Payment method: Check 9787
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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:IL Print Name: j0"V951. c�CvAIuS r f�r� Date:
Form Revised Oct 2010
�of
t Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 620 W PROSPECT RD
Job Valuation: $3,750.00 Category: Rooming/Boarding House
Transactions
Building Permit#: B1102117
Issued Full: 11/14/2011
Permit Type: Residential Alteration
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 9787 11/14/2011
$176.20
JAMES SWANSTROM
CK# 9787
Check CK# 9519 05/23/2011
$100.00
PAID BY JAMES SWANSTROM CK #9519
Receipt issued: 11/14/2011 Total Paid to Date:
$276.20
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$60.08
$60.08
11/14/2011
$0.00
City Sales/Use Tax 251.122030
$72.19
$72.19
11/14/2011
$0.00
County Sales/Use Tax 100.217030
$15.00
$15.00
11/14/2011
$0.00
Permit Flat Fee - $100 1000.422010
$100.00
$100.00
05/23/2011
$0.00
Plan Check Fee 1000.444010
$28.93
$28.93
11/14/2011
$0.00
TOTAL FEES: $276.20 $276.20
TOTAL BALANCE DUE AS OF 11/14/2011
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010