HomeMy WebLinkAbout4112 MOUNT VERNON CT - PERMITS - 9/13/2010�F�ort Collins
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
970 221 676o 970 224 6134 -fax
Building Permit # B1005646
Issued Full 09/13/2010
Permit Type Residential Minor Alteration
Site Address 4112 MOUNT VERNON CT
Job Valuation $10,500 00 Category Single Family Detach Res
Owner NEWLIN DOUGLAS R
4112 MOUNT VERNON CT
FORT COLLINS CO 80525 3335
Zoning Front setback
Rear setback
Phone 223 2140
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 #
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Electrical �A & M ELECTRIC
Mechanical NORTH COLOR/
Plumbing F—KAHAR PLUMBIN
Filing # Lot # Block #
Ind sq it Basement sq ft
Const Type
Stock plan options
License # Supervisor cert #
• Phone
Phone
(C970.416 9734
AIR �873HEATING /2412
u
Work Description REMODEL MASTER
AND DROP CEILING IN REMAINING BEDI
License Number
5 H 83737
fv1P�7
s
BEDROOM ADD WALK IN CLOSET IN MASTER BEDF
,NGE LOCATION OF SHOWER & TOILET AND IN BATH
II " SCHEDULE INSPECTIONS ' By Phone 221-6769 "= By Web http //aaweb fcgov com/CitizenAccess" I
InSDectionS FIRFNE UGP FP RE RP RM GL IN FNB FNP FNM
TOTAL FEES PAID AS OF 09/13/10 331 28 Payment method Check 1023
Fee Detail Displayed on Next Page
As a condibon 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 incorrect infarmabon This permit shall become null and void if the work authorized by such permit is not commenced
suspended abandoned or not inspected whin 180 days from the data of such permit.
Signature rmt NameDate
Form Revised lWay 2010
/0.F,�ort of
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
970 2216760 970 224 6134 fax
Budding Permit # B1005646
Issued Full 09/13/2010
Permit Type Residential Minor Alteration
Site Address 4112 MOUNT VERNON CT
Job Valuation $10,500 00 Category Single Family Detach Res
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK# 1023 09/13/2010 $31628 NEWLIN DOUGLAS R
Check CK # 1022 09/02/2010 $15 00 SANDRA NEWLIN CK#1022
Receipt issued 09/13/2010 Total Paid to Date $331 28
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000 422010 $116 78 $116 78 09/13/2010 $0 00
City Sales/Use Tax 251 122030 $157 50 $157 50 09/13/2010 $0 00
County Sales/Use Tax 100 217030 $42 00 $42 00 09/13/2010 $0 00
Plan Check Flat Fee $15 1000 444010 $15 00 $15 00 09/02/2010 $0 00
n n r-1
TOTAL FIIEII ES $331 28 $331 28 $0 00
TOTAL BALANCE DUE AS OF 09/13/2010 0 00
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Fee Amounts are valid for date of this document only Fees subject to change without notice