HomeMy WebLinkAbout621 WOOD ST - PERMITS - 6/11/2013Frt Collins
Site Address: 621 WOOD ST
Job Valuation: $100,000.00 Category: Residential Remodel
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1301903
Issued Full: 06111/2013
Permit Type: Residential Addition
Owner: WARREN BRYAN UJACQUELYN
621 WOOD ST
FORT COLLINS, CO 80521-1948 Phone:
Zoning: Front setback: 0 to existing Rear setback: Right setback: 15 Left setback: 5
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 1272 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type: V-B
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert #:
Phone:
Subcontractor(s) � ` ' ` ` C970-31M264
License Number
Electrical: TANDEM ELECTRIC LLG ME-1013
Mechanical: CUSTOM"HEATING &,AIRINC 7220 �H-1004
O O
k Descriotion: Two story addition to the rear
and laundry room. 1272 total square feet. Hom
e.
includes new kitchen,
full
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *" By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: SBF FD UGP FIR FP RE RP RM GL IN FNB FNE FNP FNM EG
TOTAL FEES PAID AS OF 06/11/13: $3,957.69 Payment method: Check 4957
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 data of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signatulel Print Name: Date: Z.0
Form Revised Oct 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1301903
Issued Full: 06/11/2013
Permit Type: Residential Addition
Site Address: 621 WOOD ST
Job Valuation: $100,000.00 Category: Residential Remodel
Transactions
Check CK # 4957 06/11/2013
$3,428.26
Bryan Warren ck # 4957
Check CK # 4946 04/25/2013
$529.43
Pay by Bryan Warren check # 4946
Receipt issued: 06/11/2013 Total Paid to Date:
$3,957.69
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$1,099.58
$1,099.58
06/11/2013
$0.00
City Sales/Use Tax 251,122030
$1,925.00
$1,925.00
06/11/2013
$0.00
County Sales/Use Tax 100.217030
$300.00
$300.00
06/11/2013
$0.00
Plan Check Fee 1000.444010
$633.43
$633.43
04/25/2013
$0.00
Plan Check Fee 1000.444010
-$104.00
-$104.00
04/25/2013
$0.00
Stormwater PIF 5040:4 73510 . ,
sib3.68
$103.68
06/11/2013
$0.00
1�
TOTAL,FEES'', . $3,957.6Q AsQ_? aQ
OTOT,AL
$0.00
El
06111%2O M. 0:00
U
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010