HomeMy WebLinkAbout110 N Shields St - Permits/Addition or Alteration - 07/01/2016F-1-1 —1
6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 110 N SHIELDS ST
Job Valuation: $24,500.00 Category: Residential Remodel
Owner: DANEK JASON T/CHRISTINE D
9852 CLAIRTON PL
LITTLETON, CO 80126-4531
Building Permit #: B1602983
Issued Full: 07/01/2016
Permit Type: Residential Alteration
Phone: 720-404-4906
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 #: Block #:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: AL KULENSKI BUILDING INC
939 W. OAK ST
FORT COLLINS, CO 80521
Subcontractor(sl
Electrical: AK ELECTRIC, INC.
Mechanical: A TEAM HEATING &AlR.LLC
Plumbing: COLORADO PLUMBING INC
Job Contact: ALFRED. KULENSKI ;
Ind sq ft: Basement sq ft:
Const Type: V-B
Stock plan options:
License #: C2-65 Supervisor cert #: 1279-C2
Phone: 970-377-3124
Phone License Number
970-37.7-2431....... ME-1000.
970-420-4761_. H-2006.. -
970-484-9922 MP-413 ....... .
970-377-3124
Work Description: Basement du2lex remodel of 506 sq ft to create (1) new bedroom (for a total of (2) bedrooms), relocating kitchen,
remodel existing bath and new living space.
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***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 07/01/16: $1,155.24 Payment method: Check 008908
*' Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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: A/ � /� �a �' Date:
Fo Revised Oct 2010
City of Community Development & Neighborhood Services
F6rt
Collins
281 N. College Ave Fort Collins, CO 80$22
970.221.676o 970.22¢.6134 -fax
Building Permit #: B1602983
Issued Full: 07/01/2016
4 Permit Type: Residential Alteration
I Site Address: 110 N SHIELDS ST
I Job Valuation: $24,500.00 Category:
Residential Remodel
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check C K # 008908 07/01/2016
$958.94
Check C K # 008881 06/03/2016
$196.30
KULENSKI BUILDING, INC. paid with check #008881
Receipt issued: 07/01/2016 Total Paid to Date:
$1,155.24
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
! Building Permit Fee w/Subs 1000.422010
$407.70
$407.70 07/01/2016
$0.00
City Sales/Use Tax 251.122030
$471.62
$471.62 07/01/2016
$0.00
County Sales/Use Tax 100.217030
$79.62
$79.62 07/01/2016
$0.00
Plan Check Fee 1000.444010
$196.30
$196.30 06/03/2016
$0.00
TOTALFEES:...
$1,166.24
$1,165.24
$0.00
t
TOTAL BALANCE DUE AS OF 07/01/2016:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.