HomeMy WebLinkAbout615 PRICHETT CT - PERMITS - 8/3/2009City of
F6rt Collins
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0904504
Issued Full: 08/03/2009
Permit Type: Basement Finish
Site Address: 615 PRICHETT CT
Job Valuation: $25,997.00 Category: Residential Remodel
Owner: CEROVSKI, MICHAEL
615 PRICHETT CT
FORT COLLINS, CO 80525
Zoning: Front setback: _
Zoning district: LMN
Legal: Subdivision/PUD:
Phone: 970-222-9119
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #: Minor Amend #:
Filing #: Lot #: 26 Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert #:
Subcontractor-(s).- ---�
L-j j
'000
Phone:
,--Phone
License Number
Work Description: BASMENT FINISH OF 858 SQUARE -FEET TO INLCUDE MEOROOM, MATH RA OOM,
ENTERTAINMENT ROOM, STORAGE CLOSET, WET -BAR. HOMEOWNER AFFIDAVIT ON FILE. �.
** SCHEDULE INSPECTIONS ***
By Phone:
221-6769
*** By Web: http://aaweb.fcgov.com/CitizenAcces—;;
Inspections: RE UGP FIR FP RP
RM GL IN
FNB FNE
FNP FNM
TOTAL FEES PAID AS OF 08/03/09 $745.21 Payment method: Check 1409
'* 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 inconect 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.
Signature: Print Name: ,c E G► _Date:
Form Revised Ocf 2668 kV4
of
F6rtCollins
Site Address: 615 PRICHETT CT
Job Valuation: $25,997.00 Category: Residential Remodel
Transactions
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0904504
Issued Full: 08/03/2009
Permit Type: Basement Finish
Method Check Number Date Paid
Amount Paid
Comments
Check CK # 1409 08/03/2009
$745.21
PAID BY CEROVSKI
CK #1409
Receipt issued: 08/03/2009 Total Paid to Date:
$745.21
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$236.25
$236.25
08/03/2009
$0.00
City Sales/Use Tax 251.122030
$389.97
$389.97
08/03/2009
$0.00
County Sales/Use Tax 100.217030
$103.99
$103.99
08/03/2009
$0.00
Plan Check Flat Fee $15 1000.444010
$15.00
$15.00
08/03/2009
$0.00
TOTAL,FEES:
$745.21
$745.21
$0.00
E DUE AS -OF 08/03/2009: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2008