HomeMy WebLinkAbout3233 Chase Dr - Permits/Basement Finish - 03/09/2012�t Collins
Site Address: 3233 CHASE DR
Job Valuation: $5,410.10 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1201137
Issued Full: 03/09/2012
Permit Type: Basement Finish
Owner: GUSTAFSON HOLLY/KYLE
3233 CHASE DR
FORT COLLINS, CO 80525-7648 Phone: 970-581-3117
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 M Lot #: 338 Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft: 876
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #:
Phone:
Subcontractofts)
Plumbing: COVENANT PLUMBIr
ING
- ._.
I 1,, 0
Work DescriDtion:, BASEMENT -FINISH OF 875.65 SF_T.O'II
USED COMPLETE MATERIAL LIST AND SUB CONTRACTOR Qi
AFFIDAVIT ON FILE.
Supervisor cert#:
License Number
❑ MP-622
ZEC'ROOM. THEATER. WETBAR. OFFICE AND;3/4 BATH.,
FOREGO MINIMUM VALUATION. HOMEOWNERy.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess II
***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 03/09/12: $295.62 Payment method: Credit Card
Fee Detall Displayed on Next Page
As a 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, 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 inked within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Slgnature:)�Z=/' T Print Name: , (4 �r�,sft��s�,� Date: 3/140/12
Form Revised Oct 2010
of
F6rt„Collins
Site Address: 3233 CHASE DR
Job Valuation: $5,410.10 Category: Residential Remodel
Transactions
Credit Card
03/08/2012
$295.62
Receipt Issued: 03/09/2012 Total Paid to Date:
$295.62
Fee Description
Account Code
Fee Amount
Building Permit Fee w/Subs
1000.422010
$144.79
City Sales/Use Tax
251.122030
$104.18
County Sales/Use Tax
100.217030
$21.65
Plan Check Flat Fee $25
1000.444010
$25.00
TOTAL FEES: $295.62
$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1201137
Issued Full: 03/09/2012
Permit Type: Basement Finish
Comments
PAID BY KYLE GUSTAFSON CC
Amount Paid Date Paid Amount Due
$144.79 03/08/2012 $0.00
$104.18 03/08/2012 $0.00
$21.65 03/08/2012 $0.00
$25.00 03/08/2012 $0.00
$295.62
DUE AS OF
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