HomeMy WebLinkAbout3218 Shallow Pond Dr - Permits/Basement Finish - 12/16/2011City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111228
Issued Full: 12/16/2011
Permit Type: Basement Finish
Site Address: 3218 SHALLOW POND DR
Job Valuation: $6,071.42 Category: Residential Remodel
Owner: POEHLMAN 1998 FAMILY TRUST
3218 SHALLOW POND DR
FORT COLLINS, CO 80528 Phone: 206-4782
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: Filing #: Lot #: Block #:
Code: Res sq ft: 0
# of stories: _
Fire Sprklr:
Contractor:
Com sq ft:
Occ Group:
Stock plan #
Ind sq ft: Basement sq ft: 1268
Const Type:
Stock plan options:
License #:
Phone:
Phone
Supervisor cert #:
Work Description: BASEMENT FINISH TO INCLUDE -EXERCISE AREA; ENTERTAINMENT AREA, SNACK BAR WITH:SINK,
3/4 BATHROOM. SHOP AREA TO BE UNFINISHED.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: RE UGP FIR FP RP RM GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 12/16/11: $240.56 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 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:'iarff,3 V01211)M&N Date: 1211 L,2011
Form Revised Oct 2010
of
,:art_`
Site Address: 3218 SHALLOW POND DR
Job Valuation: $6,071.42 Category: Residential Remodel
Transactions
Credit Card
12/16/2011
$240.56
Receipt issued: 12/16/2011 Total Paid to Date:
$240.56
Fee Description
Account Code
Fee Amount
Building Permit Fee w/Subs
1000.422010
$84.38
City Sales/Use Tax
251.122030
$116.89
County Sales/Use Tax
100.217030
$24.29
Plan Check Flat Fee $15
1000.444010
$15.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111228
Issued Full: 12/16/2011
Permit Type: Basement Finish
Comments
KAREN POEHLMAN CC
Amount Paid Date Paid
$84.38
12/16/2011
$116.89
12/16/2011
$24.29
12/16/2011
$15.00
12/16/2011
$240.56 $240.56
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
Form Revised Oct 2010