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Home My WebLink About912 PIONEER AVE - PERMITS - 6/26/2009Frt of Site Address 912 PIONEER AVE Neighborhood 8 Building Services 281 N Colle9e Ave Fort Collins CO 80522 058o Phone 970-221 676o Fax 970-224-6134 BUILDING PERMIT # B0901410 Issued Full 06/26/2009 Permit Type Residential Alteration Job Valuation $12,313 00 Category Residential Remodel Owner MOLESWORTH ROY 3375 S GARFIELD LOVELAND CO 80537 Phone 970 667 9695 Zoning Front setback Rear setback Right setback Left setback Zoning district NCL Plat File # ZBA Case # Minor Amend # Legal Subdivision/PUD Code Res sq ft 0 # of stories _ Stock plan # Contractor Subcontractor(s) r j Filing # Lot # Block # Coin sq ft Ind sq ft Occ Group Const Type TYPE V N Stock plan options License # Phone I t � Basement sq ft RATED Supervisor cert # Phone License Number Work Description CONVERT attached GARAGE INTO BEDROOM AND BATHROOM HOMEOWN6WAFFIDAVIT ON FILE SCHEDULE INSPECTIONS "* By Phone 221-6769 *** By Web http //aaweb fcgov com/CitizenAccess'* �I Inspections EG RM SBF FD UGP FR FP RE RP GL IN FNB FNE FNP FNM TOTAL FEES PAID AS OF 06/26/09 $430 98 Payment method Check 3743 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 inwned 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 Print Namep �� go'eSWA.Iciate Form Revised Oct �t of Neighbor hood R Building Services 281N College Ave Fort Collins CO80522 o58o Phone 970 221 676o Fax 970 224-6134 BUILDING PERMIT # B0901410 Issued Full 06/26/2009 Permit Type Residential Alteration Site Address 912 PIONEER AVE Job Valuation $12,31300 Category Residential Remodel Transactions Method Check Number Date Paid Amount Paid Comments Check CK # 3743 03/13/2009 $430 98 PAID BY ROY MOLESWORTH CK #3743 Receipt issued 06/26/2009 Total Paid to Date $430 98 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000 422010 $132 98 $132 98 03/13/2009 $0 00 City Sales/Use Tax 251 122030 $184 71 $184 71 03/13/2009 $0 00 County Sales/Use Tax 100 217030 $49 26 $49 26 03/1312009 $0 00 Plan Check Fee 1000 444010 $64 03 $64 03 03/13/2009 $0 00 TOTAL FEES $430 98 $430 98 $0 00 TOTAL -BALANCE DUE AS �OF 06/26/2009 ` 0 00 I , i Fee Amounts are valid for date of this document only Fees subject to change without notice