HomeMy WebLinkAbout2921 Meadowlark Ave - Permits/Deck - 04/13/2011City of
F6rt Collins
Site Address: 2921 MEADOWLARK AVE
Job Valuation: $4,800.00 Category: Single Family Detach Res
Owner: AMSPOKER, TERRY L
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970-224.6134 -fax
Building Permit #: B1101262
Issued Full: 04/13/2011
Permit Type: Deck
2921 MEADOWLARK AVE
FORT COLLINS, CO 80526-2839 Phone:
Zoning: Front setback: 0 to existing Rear setback: 41 Right setback: Left setback: 13
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 24
# of stories: _
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: D. ANDERSON CONST, LLC
1298 MAIN ST., PMB 4147
WINDSOR, CO 80550
Subcontractor(s)_ ___ :
Job Contact: I DAN ANDERSON
4 l
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License #: D-503 Supervisor cert #:
Phone: 970-686-0429
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Work Description: REPLACE AND REMODEL 12X1.2-WITH HANDRAIL AND STAIRS OF THE NEW DECK
TOTAL FEES PAID AS OF 04/13/11: $194.93 Payment method: Check 011586
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that 1 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.
Signature:®r;,4 Print Na ' e: SOk Date:
Form Revised Oct 2010
City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1101262
Issued Full: 04/13/2011
Permit Type: Deck
Site Address: 2921 MEADOWLARK AVE
Job Valuation: $4,800.00 Category: Single Family Detach Res
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 011586 04/13/2011 $162.10
Check CK# 011550 03/30/2011 $32.83
Receipt issued: 04/13/2011 Total Paid to Date: $194.93
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $50.50 $50.50 04/13/2011 $0.00
Subs
City Sales/Use Tax 251.122030 $92.40 $92.40 04/13/2011 $0.00
County Sales/Use Tax 100.217030 $19.20 $19.20 04/13/2011 $0.00
Plan Check Fee 1000.444010 $32.83 $32.83 03/30/2011 $0.00
TOTAL FEES: $194.93 $194.93 $0.00
TOTAL BALANCE DUE A I I 3/2011: -`' 0.00
S OF 04✓1
Fee Amounts are valid for date of this document only. Fees subject to change without notice.