HomeMy WebLinkAbout3626 Big Dipper Dr - Permits/Basement Finish - 01/17/2012Cityof Community Development & Neighborhood Services
fort Collins 281N.CollegeAve Fort Collins, C08og22
970.221.676o 970.224.6134 -fax
Building Permit #: B1200238
Issued Full: 01/17/2012
Permit Type: Basement Finish
Site Address: 3626 BIG DIPPER DR
Job Valuation: $12,362.00 Category: Residential Remodel
Owner: GOSHEY JOSHUA C/TRICIA A
3626 BIG DIPPER DR
FORT COLLINS, CO 80528-0000 Phone: 481-9805
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district:
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor:
Electrical:
Mechanical:
SIMPLE HOME SOLUTIONS
2756 BRUSH CREEK DR -
FORT COLLINS, CO 80528
or(s)I _
T'S ELECTRIC LTD
PERFECT TEMP, INC0
Work Description: BASEMENT- FINISH -408 SQ FTT(
Filing #: Lot #: 90 Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: D-619
Phone:070-631-3451
Basement sq ft:
& BEDROOM
Supervisor cert#: 2756-21
License Number
❑ ME-533
H-1931
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *" By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
)actions: RE UGP FR FP RP RM GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 01/17/12: $554.07 Payment method: Check 1822
Fee Deta/l Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I 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 became null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 daysfrom the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
r
Signature:; enr AAI1� Print Name: 11-4� Date: 4:2,
Form Revised Oct 2010
City of
�`rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Site Address: 3626 BIG DIPPER DR
Job Valuation: $12,362.00 Category: Residential Remodel
Transactions
Building Permit #: B1200238
Issued Full: 01/17/2012
Permit Type: Basement Finish
Check CK # 1822 01/17/2012
$554.07
PAID BY TOM MILLER - DBA SIMPLE HOME SOLUTIONS
CK#1822
Receipt issued: 01/17/2012 Total Paid to Date:
$554.07
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$241.65
$241.65
01/17/2012
$0.00
City Sales/Use Tax 251.122030
$237.97
$237.97
01/17/2012
$0.00
County Sales/Use Tax 100.217030
$49.45
$49.45
01/17/2012
$0.00
Plan Check Flat Fee $25 1000.444010
$25.00
$25.00
01/17/2012
$0.00