HomeMy WebLinkAbout1203 Cloverdale Dr - Permits/Change of Use - 05/18/2018 (4)City of
F6rt Collins
/1110�
Site Address 1203 CLOVERDALE DR. 4
Job Valuation 1 00 Category Rooming/Boarding House
Owner CCC FORT COLLINS LLC
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 61S4 -fax
Building Permit # B1801976
Issued Full 05/18/2018
Permit Type Residential Alteration
431 OFFICE PARK DR
BIRMINGHAM AL 35223-2411 Phone 205-414-6400
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal Subdivision/PUD
CAPSTONE COTTAGES
Code Res sq ft 0 Com sq ft
# of stones 3 Occ Group
Fire Sprklr Stock plan #
Contractor COTTAGE BUILDERS INC r
431 Office Park Dr w
Birmingham AL 35223
Filing # Lot # 12 Block #
Ind sq ft Basement sq ft 0
Const Type
Stock plan options
License # C2-129 Supervisor cert #
Phone 205-414-6459
Subcontractor(s) _= Plione
Job Contact Randy Davis 205=414-6459
0
License Number
Work Description Change of Use permitto change from an attached s ngle fa Imi y residence to an Extra OccupancyRental �House
allowing up to 4 unrelated occupants The single family house was constructed as stock plan 2151 and is in Phase 7 of the Capstone
Cottages development ~
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
IlPossible Inspections Required 206 200 202 204 100 101 102 203 205 201 207 303 301 300 302 II
TOTAL FEES PAID AS OF 05/18/18 $0.00 Payment method _
*" 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 Pnnt Name AO,/t . I&OR UC-5 Date 6_1Z 3// -9
Form Revised Oct 2010
F6City
of
rt Collins
/41100�
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit # B1801976
Issued Full 05/18/2018
Permit Type Residential Alteration
Site Address 1203 CLOVERDALE DR. 4
Job Valuation 1 00 Category Rooming/Boarding House
Transactions
Method Check Number Date Paid Amount Paid Comments
Receipt issued Total Paid to Date
Fee Description Account Code Fee Amount Amount Paid
Permit Flat Fee - $100 1000 422010 $100 00
TOTAL FEES
$100 00 $0 00
Date Paid Amount Due
$100 00
$100 00
TOTAL BALANCE DUE AS OF 05/18/2018 100 00
Fee Amounts are valid for date of this document only Fees subject to change without notice