HomeMy WebLinkAbout612 Prouty Ct - Permits/Addition or Alteration - 06/25/2020arof
t Collins
Site Address: 612 PROUTY CT
Job Valuation: $2,000.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B2005621
Issued Full: 06/25/2020
Permit Type: Residential Alteration
Owner: SHORMA JERRY L
612 PROUTY CT
FORT COLLINS, CO 80525-0000 Phone: 970-214-7725
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: Filing M Lot #: Block #:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor:
Subcontractor(s)
Ind sq ft: Basement sq ft:
Const Type: V-B
Stock plan options:
License #: Supervisor cert#:
Phone:
Phone License Number
Work Description: Remodel of 41 sq ft to include changing 3/4 bathroom to full bathroom. Work to include relocating drain and adding
tub spout. Contact: Jerry Shorma 970-214-7725. Homeowner affidavit on file.
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: 206 200 202 204 100 101 102 203 205 201 207 303 301 300 302
TOTAL FEES PAID AS OF 06/25120: $135.94 Payment method: Credit Card 2242
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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:
Date:
Form Revised Oct 2010
art Collins
Site Address: 612 PROUTY CT
Job Valuation: $2,000.00 Category: Residential Remodel
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -far
Building Permit #: B2005621
Issued Full: 06/26/2020
Permit Type: Residential Alteration
Method Check
Number Date Paid
Amount Paid
Comments
Credit Card CK # 2242 06/25/2020
$135.94
Receipt issued: 06/25/2020
Total Paid to Date:
$135.94
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs
1000.422010
$89.44
$89.44
06/25/2020
$0.00
City Sales/Use Tax
251.122030
$38.50
$38.50
06/25/2020
$0.00
County Sales/Use Tax
100.217030
$8.00
$8.00
06/25/2020
$0.00
TOTAL FEES:
$135.94
$0.00
$136.94
TOTAL BALANCE DUE AS OF 06/2512020:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010