HomeMy WebLinkAbout6120 Polaris Dr - Permits/Basement Finish - 12/29/2017�of
t Collins
Site Address: 6120 POLARIS DR
Job Valuation: $24,240.00 Category: Residential Remodel
Owner: SHERMAN ROBERT A/WENDY J
6120 POLARIS DR
FORT COLLINS. CO 80525
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 970-324-7843
Building Permit #: B1708566
Issued Full: 12/29/2017
Permit Type: Basement Finish
Zoning: Front setback: Rear setback: 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:
Filing #: Lot #: Block #:
Corn sq ft: Ind sq ft: Basement sq ft: 800
Occ Group: Const Type:
Stock plan #: Stock plan options:
License #:
Phone:
Supervisor cert #:
Subcontractor(s) Phone License Number
Electrical: SIERRA VISTA ELECTRIC LLC 970-532-4404 ME-1157
Plumbing: COVENANT PLUMBING 970-454-2830 MP-622
Framing: TOTAL REMODEL CONTRACTOR, 970-352-9988 F-300
Work Description: Basement finish of 800 sq. ft. to include 2 bedrooms, 1 full bathroom, and rec room. Homeowner affidavit on file.
11
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 201 204 203 302 102 205 200 202 207 303 301 300
TOTAL FEES PAID AS OF 12/29/17: $978.10 Payment method: Cash
*` 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: G yw\ Date: 1141/ 0
Form Revised Oct 2010
City of
FV�6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 6120 POLARIS DR
Job Valuation: $24,240.00 Category: Residential Remodel
Building Permit #: B1708566
Issued Full: 12/29/2017
Permit Type: Basement Finish
Transactions
Method Check Number Date Paid Amount Paid Comments
Cash 12/29/2017 $978.10 Evan Sherman paid $1000 cash. Gave $21.90 change (one
twenty, one dollar and 3 quarters, one dime and one nickel).
Receipt issued: 12/29/2017 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
Plan Check Flat Fee $25 1000.444010
$978.10
Fee Amount
Amount Paid
Date Paid
Amount Due
$407.70
$407.70
12/29/2017
$0.00
$466.62
$466.62
12/29/2017
$0.00
$78.78
$78.78
12/29/2017
$0.00
$25.00
$25.00
12/29/2017
$0.00
TOTAL FEES: $978.10 $978.10
TOTAL BALANCE DUE AS OF 12/29/2017:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.