HomeMy WebLinkAbout602 KEENESBURG CT - PERMITS - 10/20/2003Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
IB SITE ADDRESS
IT TYPE
Last Name, First, Middle Initial
0:: UPLn!]Y NC]MI
ZAddress
O Zip
0 39
Z Right Side Setback
Z 5.3
NPlat File No.
Q
w Lot
J
Company
LU
LU
Phone
Electrical
BUILDING PERMIT
Building Valuation
B0306678 ACCOUNT
PERMIT DATE
PERMIT LEVEL
TYPE
Construction Type Occupancy Group
City/State O No. of Stories Building Height 11031 SHERIDAN RI VD
Phone No. U 2
Building Square Footage I Stock Plan/Options
Left Side Setback
6.3
' • • •
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
SBF RP RM
nu I N F N B
FNE FNP FNM
F D S P I U G P
S W R W T R F R
FP RE EC
ZBA Case Number
Zoning District
ILLS PUD
Filing
Block
Lot Area
8595
Parcel No.
Contractor License No.
City/State
c cr , I'n Rn,ngin
License
No.
License No. AIR SEALIW.54
License No.
License No. CHECK LI*
License No.
NEW SINGLE FAMILY STOCK #1076 WITH OPTIONS 1,35,710 AND 929 SQFT UNFINISHED BASEMENT
AIR SEALING
BRIAN KELLY
Plan Check Fee
Building Permit w/ Subus
City SaieS/USe Tax
County SaieS/1Se TAX
Parkland: Community
Parkland: Nelgnborho"ud
I Capital Exp.
General Cut. Capt, Exp,
Police Capital Exp.
Fire Capital Exp,
Street OverSizing: Res,
larimer County Reg. Road
Electric Underground
Elec: PILOTS
Elec: Comm. Revenue
Elec: Temp. Pedestal
Pee: City Energy Tax
Elec: ST/CO Energy Tax
Thompson School District
Stormwater Vey, Review
Stormwater: Fossil Creek
As a'condfion for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
JW
�t 11 I�-FJ, „�—
%� To -o
Print name of owner/agent---"Signature Date TOTAL FEES
FEE
$177.0
$844.4
r2 -A ,
$7C�.8
$ir629.0
$1,463.0
$489.0
$222.0
$121.0
$175,0
$ir973.tni
$164.V
$428,V
$2.4
$40.3
$93.3
$i.5
$688.3
$105.7
2
$94.8
DATE PAID
l0/ 10/i,
in IAA j
1UI Zu ua
+.n rnn n
ujiu/,),i
n inn ljio
iu/tuI:.,j
U/2O/`Ui
1V/20/03
;nt � ' OicI
U / / u J
10/20/03
10/20/03
10/20/03
IU/LUlu
10/20/03
1U/2U/U
LU/riJ
i0J2V/U3
IV/2V/03