HomeMy WebLinkAbout305 N Shields St - Permits/Addition or Alteration - 06/07/2019CI}� O1 Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
Fort Collins
97o.22i.676o 97o.22q.6i34 -.f�
Building Permit #: B1904021
Issued Full: 06/07/2019
Permit Type: Residential Minor Alteration
Address: 305 N SHIELDS ST
Valuation: $2,500.00 Category: Residential Remodel
er: NEUBAUER MARK
305 N SHIELDS ST
FORT COLLINS, CO 80521-1837 Phone: 970-567-4349
Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Subdivision/PUD:
Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
tor: BLUELINE ELECTRIC-LLC
3757 DALTON DR
FORT COLLINS, C6 80526
ectrical: i BLUELINE ELECTRIC LLC____ r __-
umbing: I I NEUWORKS.MECHANICAL; INC., J
ib Contact: NCUBAOER MARK ( I j
i
Filing #: Lot #: _Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License* ME-1187
Phone: 970-5p8-8239
Basement sq ft:
Supervisor cert#:
s--Phone
�'-970-668-8239
970-556-3130
970-5674349 llll
i
1 � �
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License Number
_ ME-1187 _
MP-724` i
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Work Description: Collection of over the counters to include_a-gas line for fire pit, -fire pit installation and electrical to BBQ.area (new
120v outlet on existing circuit). Homeowner affidavit on -filed r=
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 102 205 200 202 204 303 302 203 301 201 300 207
TOTAL FEES PAID AS OF 06/07/19: $161.40 Payment method: Check 2052
*' 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.
Print Name: E+, `ffV-4, V ` d Date: (0 I :� l � I
Form Revised Oct 2010
City of Community Development &Neighborhood Services
Fmort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Address: 305 N SHIELDS ST
Valuation: $2,500.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid
Check CK#2052 06/07/2019 $161.40
Receipt issued: 06/07/2019 Total Paid to Date: $161.40
Fee Description Account Code Fee Amount
Building Permit Fee w/Subs 1000.422010 $103.28
City Sales/Use Tax 251.122030 $48.12
County Sales/Use Tax 100.217030 $10.00
TOTAL FEES:
Building Permit#: B1904021
Issued Full: 06/07/2019
Permit Type: Residential Minor Alteration
Comments
Amount Paid
Date Paid
Amount Due
$103.28
06/07/2019
$0.00
$48.12
06/07/2019
$0.00
$10.00
06/07/2019
$0.00
$161.40 $161.40
$0.00
TOTAL' BALANCE DUE AS OF 06/07/2019: 0.00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.