HomeMy WebLinkAbout1101 Ellis St - Permits/Addition or Alteration - 01/13/2012City of
Fort Collins
Site Address: 1101 ELLIS ST
Job Valuation: $1,000.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1111523
Issued Full: 01/13/2012
Permit Type: Residential Minor Alteration
Owner: WELBORN CHARLES E JR
1101 ELLIS ST
FORT COLLINS, CO 80524-3825 Phone: 221-7152
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block M
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
SITE SOLUTIONS; INC. _.
Contractor: 1025 N. HWY 287�STE #3 License #: D-666 Supervisor cert#: 1058-D1
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FORT COLLINS, CO 80524 ` Phone: 970-218-3390
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Subcontractors) ` Phone License Number
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Work Description: LENGTHEN -EXISTING WINDOW
WELL PER 2009 IRC IN BASEMENT_
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769
WINDOW AND COM
*"* By Web: http://amos.fcgov.com/CitizenAccess
Ilinspections: FIR FNE UGP FP RE RP RM GL IN FNB FNP FNM
TOTAL FEES PAID AS OF 01/13/12: $46.88 Payment method: Credit Card
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror 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, arid 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 perm 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 re red ithin 15 feet of each bedroom entrance.
Signature: Print Name:o.�t. Date: <lr_5�
Forrn Revised Oct 2010
art Collins
Site Address: 1101 ELLIS ST
Job Valuation: $1,000.00 Category: Residential Remodel
Transactions
Credit Card 01/13/2012
Receipt issued: 01/13/2012 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
Amount Paid
$46.88
$46.88
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111523
Issued Full: 01/13/2012
Permit Type: Residential Minor Alteration
Comments
PAID BY SITE SOLUTIONS CC
Fee Amount
Amount Paid
$23.63
$23.63
$19.25
$19.25
$4.00
$4.00
TOTAL FEES: $46.88 $46.88
Date Paid
Amount Due
01/13/2012
$0.00
01/13/2012
$0.00
01/13/2012
$0.00
$0.00
TOTAL BALANCE DUE AS OF 01/13/2012: 0.00
a
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010