HomeMy WebLinkAbout3409 Long Creek Dr - Permits/Addition or Alteration - 06/09/2015FfCollins
Site Address: 3409 LONG CREEK DR
Job Valuation: $2,400.00 Category: Residential Remodel
Owner: KELLY PETER D/KRISTEN J
3409 LONG CREEK DR
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970-224.6134 -fax
Building Permit#: B1503916
Issued Full: 06/09/2016
Permit Type: Residential Alteration
Phone: 970-206-1005
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#: 2 Block#: 8
Code: Res sq ft: 0
# of stories: _
Fire Sprklr:
Contractor:
Com sq ft:
Occ Group:
Stock plan #:
Subcontractor(s)
Job Contact: KELLY PETER D/KRISTEN J
Ind sq ft: _
ConstType: V-B
Stock plan options:
Basement sq ft:
License #: Supervisor cert#:
Phone:
Phone License Number
970-206-1005
Work Description: Adding a wall and cut in new basement window. See engineered drawings and letter. Home owner affldaviton file
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://Www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: EG RP RM GL SBF FD UGP FIR FP RE IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 06/09/15: $157.28 Payment method: Credit Card 1142
" Fee Detail 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 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: !/ l)S Date: (ts— 9 /S
Form Revised Oct 2010
F,�rfCollins
Site Address: 3409 LONG CREEK DR
Job Valuation: $2,400.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Credit Card CK#1142 06/09/2015
Receipt issued: 06/09/2015 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
TOTAL FEES:
Amount Paid
$157.28
$157.28
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134-fax
Building Permit#: B1503916
Issued Full: 06/09/2016
Permit Type: Residential Alteration
Comments
Kristen Kelly CC
Fee Amount
Amount Paid
$103.28
$103.28
$46.20
$46.20
$7.80
$7.80
$157.28 $157.28
Date Paid
Amount Due
06/09/2015
$0.00
06/09/2015
$0.00
06109/2015
$0.00
$0.00
TOTAL BALANCE DUE AS OF 06/09/2016: 0.00
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4
4
Fee Amounts are valid for date of this document only. Fees subject to change without notice.