HomeMy WebLinkAbout420 Galaxy Way - Permits/Addition or Alteration - 02/15/2017/0.F,�o�rfCollins
Site Address: 420 GALAXY WAY
Job Valuation: $5,000.00 Category: Residential Remodel
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700469
Issued Full: 02/16/2017
Permit Type: Residential Alteration
Owner: BURNS RENATA
420 GALAXY WAY
FORT COLLINS, CO 80525-4014 Phone: 970-232-6449
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 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor:
Subcontractor(s)
Job Contact: BURNS RENATA j
Work Description: AFTER THE FACT- Creating habitable livinc
bedroom and 1 bathroom. i
Homeowner affidaviton file.
Filing #: Lot #: Block #:
Ind sq ft: _
ConstType: V-B
Stock plan options.
License #:
Phone:
Basement sq ft:
Supervisor cert#:
i I
License Number
6449 r
attached garage. 200 sq. ft.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: htto://www.fcaov.com/CitizenAccess/mobile
Illnspections: EG RP RM GL SBF FD UGP FIR FP RE IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 02/15/17: $306.50 Payment method: Credit Card 0753
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: �eWjboA ffV f'Vl; Date: � j/07
Forth Revised Oct 2010
F�o�rt Collins
Site Address: 420 GALAXY WAY
Job Valuation: $5,000.00 Category: Residential Remodel
Transactions
munity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700469
Issued Full: 02/15/2017
Permit Type: Residential Alteration
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 0753 02/15/2017
$243.45
RENATA BURNS paid
with CC
Credit Card CK # 0753 01/31/2017
$63.05
Paid with credit card
0753.
Receipt issued: 02/15/2017 Total Paid to Date:
$306.50
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$130.95
$130.95
02/15/2017
$0.00
City Sales/Use Tax 251.122030
$96.25
$96.25
02/15/2017
$0.00
County Sales/Use Tax 100.217030
$16.25
$16.25
02/15/2017
$0.00
Plan Check Fee 1000.444010
$63.05
$63.05
01/31/2017
$0.00
TOTAL -FEES: $306.50
TOTAL BALAN
O
$306.50
$0.00
CE DUE AS OF 02/15/2017: 0.00
O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.