HomeMy WebLinkAbout6227 GOLDEN WILLOW DR - PERMITS - 12/3/2004Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fortconins phone (970) 221-6760 Fax (970) 224-6134
JJOB SITE ADDRESS
PERMITTYPE
Last Name,
Z Add
3
O zip
Z Right Side S
Z
0
Plat File No.
J
w Lot
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0
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0
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Company Name
City/State
Phone No.
Rear Setback
Left Side Setback 26
ZBA Case Number I Zoning District
BUILDING PERMIT
Building Valuation
gl0406074 ACCOUNT
LEVEL
— — COr1"str5cTion Type
w allo. of Stories
0
U Building Square Footage
(See reverse
Height
Stock Plan/Options
Inspection Description)
SBF
G L
FNE
F D
S W R
FP
RP
I N
FNP
S P I
W T R
RE
RM
F N B
FNM
U G P
F R
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Block
Lot Area
Parcel No.
Contractor License No.
City/State 463
wigrvisor Cert. No.
EN6LEW609 r ee 80112
, 111V, I License No.
License No.
License No. R I i U i
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STAR
License No.1?0
License No. MP 7,
NEW SINGLE FAMILY - STOCK PLAN! # 1412 WITH UNFINISHED BASEMENT AND OPTIONS 6 & 8.
� E-STAR
W
SKIP HENKEL
Plan Check Fee
Building Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
Parkland: Community
Parkland: Neighborhood
Library Capital Exp.
General Govt. Capt. Exp.
Police Capital Exp.
Fire Capital Exp.
Street Oversizing: Res.
Larimer County Reg. Road
E lec: Secondary Service
EIec: PILOTS
flee: Comm. Revenue
Elee: Temp. Pedestal
Elec: City Energy Tax
EIev ST/CO Energy Tax
Water PIF
Poudre School District
Stormwater Dev. Review
Storaiater: Fossil Creek
As a condition 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.
Tint name of owner/agent Signature ' Date TOTAL FEES
$170.0
$745.8
$2,535.6
$676.1
$1,443.0
$1,296.0
$433.0
$1196.01
$107.01
$155.01
$2,006.01
$164.01
$556.01
$2.21,
$36.7!
$97.4
$1.1
$1.4
$2,593.3
$763.0
$144.3
$90.6
9/27/04
12/3/04
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