HomeMy WebLinkAbout4454 HOLLYHOCK ST - PERMITS - 7/6/2010rrt of
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
97o 221 676o 970 224 6134 -fax
Site Address 4454 HOLLYHOCK ST
Job Valuation $13,947 00 Category Residential Remodel
Owner LIPMAN JESSICA M
4454 HOLLYHOCK ST
FORT COLLINS CO 80526
Phone 390 5478
Budding Permit# B1004238
Issued Full 07/06/2010
Permit Type Basement Finish
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PUD
Code Res sq ft 0
# of stones _
Fire Sprklr
Contractor
Com sq ft
_ Occ Group _
Stock plan #
C O� W
Filing # Lot # Block #
Ind sq ft
Const Type
Stock plan options
License #
( Phone
Basement sq ft
Supervisor cart #
Subcontractor(s�— Phone License Number
v
on no
Work Description BASE
AND BEDROOM BY PREV
LAUNDRY/UTILITY ROOM
AFFIDAVIT ON FILE
41SH TO INCLUDEt585 SO FT AFTER THE FACT FINISH OF FAMILY ROOM
VER—NEW,.WORYK TO INCLUDE APPROX 90 SQ FT FOR 3/4 BATH AND
IN PLUMBING -INSTALLED AT TIME OF NEW CONSTRUCTION HOMEOWNER
"SCHEDULE INSPECTIONS
' By Phone
221-6769
' By Web
http //aaweb fcgov com/CitizenAccess"
Inspections RE UGP FR FP
RP RM GL IN
FNB FNE
FNP FNM
TOTAL FEES PAID AS OF 07/06/10 332 78 Payment method Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I her" declare that I am the owneror owner's 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 mcorred 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 ✓ Pnnt Name JOSI(A j IIg0& W, Date /1()
Form Revised May k010
�.F�ort Collins
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
970 221 676o 97o 224 6134 fax
Site Address 4454 HOLLYHOCK ST
Job Valuation $13,947 00 Category Residential Remodel
Transactions
Building Permit # B1004238
Issued Full 07/06/2010
Permit Type Basement Finish
Method Check Number Date Paid
Amount Paid
Comments
Credit Card
07/06/2010
$332 78
JESSICA LIPMAN PAID BY CREDIT CARD
Receipt issued 07/06/2010 Total Paid to Date
$332 78
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs
1000 422010
$124 88
$124 88
07/06/2010
$0 00
Building Permit Fee w/Subs
1000 422010
$141 08
$141 08
07/06/2010
$0 00
City Sales/Use Tax
251 122030
$40 91
$40 91
07/06/2010
$0 00
County Sales/Use Tax
100 217030
$10 91
$10 91
07/06/2010
$0 00
Plan Check Flat Fee $15
1000 444010
$15 00
$15 00
07/06/2010
$0 00
TOTAL FEES 0 $332 78 $332 78
�u (aIll
TOTAL'BALANCE DUE AS OF
Li
Fee Amounts are valid for date of this document only Fees subject to change without notice