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HomeMy WebLinkAbout2830 Sombrero Ln - Permits/Addition or Alteration - 03/09/2012arof t Collins Site Address: 2830 SOMBRERO LN Job Valuation: $200.00 Category: Residential Remodel Owner: OLSON KEITHITRACY 2830 SOMBRERO LN FORT COLLINS, CO 80525-2460 Zoning: Frontsetback: Community Development & Neighborhood Services 28i N. College Ave Fort Collins, CO 8o522 970.221.676o 970.224.6184 -fax Building Permit #: B1201004 Issued Full: 03/09/2012 Permit Type: Residential Minor Alteration Phone: 970-237-1814 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD Code: Res sq ft: 0 # of stories: _ Fire Sprklr: Contractor: Rear setback: MEADOWS EAST Filing #: Lot #: Block #: Com sq ft: Ind sq ft: Basement sq ft: Occ Group: Const Type: Stock plan #: Stock plan options: License #: Supervisor cert#: Phone: Subcontractors) Phone License Number O � Work Description: CONVERT PART OF UTILITY CLOSET/DEAD SPACE -INTO A USABLE CLOSET. WILL ADD A BACK WALL AND DOOR TO EXISITNG STRUCTURE. HOMEOWNER AFFIDAVIT ON FILE. "'Y 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/ Insaections: FIR FNE UGP FP RE RP RM GL IN FNB FNP FNM TOTAL FEES PAID AS OF 03/09/12: $29.65 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 owneror owner's agent, authored 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 nun and void if the work authorized by such permit is not commenced, suspended, abandoned or riot inspected within 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Print Name: i1l, 0/50v` Date: �Z Form Revised Oct 2010 City of Community Development & Neighborhood Services fort Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1201004 Issued Full: 03/09/2012 Permit Type: Residential Minor Alteration Site Address: 2830 SOMBRERO LN Job Valuation: $200.00 Category: Residential Remodel Transactions Credit Card 03/09/2012 $29.65 PAID BY KEITH OLSON CC Receipt issued: 03/09/2012 Total Paid to Date: $29.65 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000.422010 $25.00 $25.00 03/09/2012 $0.00 City Sales/Use Tax 251.122030 $3.85 $3.85 03/09/2012 $0.00 County Sales/Use Tax 100.217030 $0.80 $0.80 03/09/2012 $0.00 TOTAL FEES: $29.65 $29.65 $0.00 TOTAL BALANCE DUE AS OF 03109/2012: 0.00 O O O Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010