HomeMy WebLinkAbout4625 CHIPPENDALE DR - PERMITS - 6/23/2016ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602526
Issued Full: 06/23/2016
Permit Type: Residential Addition
Site Address: 4625 CHIPPENDALE DR
Job Valuation: $80,000.00 Category: Residential Remodel
Owner: TU DAVID K Y
4625 CHIPPENDALE DR
FORT COLLINS, CO 80526-3801 Phone: 970-231-0352
Zoning: Front setback: Rear setback: Right setback: Left setback: 46' 8"
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft: 400
# of stories: _
Fire Sprklr:
Contractor:
Subcontractors
Filing #: Lot #: Block #:
Corn sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type: V-B
Stock plan #: Stock plan options:
Electrical:
INNOVATIVE ELECTRIC
Mechanical:
i i METAL MECHANICS fNC .
Plumbing:
i S.& S PLUMBING-INC%
Roofing:
s .' KESSLER ROOFING INC
Job Contact:
TU DAVID KY,,'
License #:
Phone:
Supervisor cert #:
License Number
Work Description: Residential.. addition of one story, 400 sf over crawl space -to add a dining room, remodel the existing.kitchen. New
addition will use electric baseboard..heat. Homeowne�..affidavit. Framing work performed by homeowner.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FD UGP FR FP RP GL IN FNB FNE FNP FNM EG SBF RM RE
TOTAL FEES PAID AS OF 06/23/16: $3,260.68 Payment method: Check 1026
** 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 properly 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 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
�6 �
Signature: Print Name: 0'Gb"'G( �Date: 1 `Z?17-o %i
I Form Revised Oct 2010
City of
Community Development & Neighborhood Services
F6rt llin
Cos
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:.
B1602526
Issued Full:
06/23/2016
Permit Type: Residential
Addition
Site Address: 4625 CHIPPENDALE DR
Job Valuation: $80,000.00 Category:
Residential Remodel
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 1026 06/23/2016
$2,809.25
BEE C KHOO paid with check #1026
Check CK# 5475 05/12/2016
$451.43
Check#5475 by Vance Construction INC
Receipt issued: 06/23/2016 Total Paid to Date:
$3,260.68
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$937.58
$937.58 06/23/2016
$0.00
City Sales/Use Tax 251.122030
$1,540.00
$1,540.00 06/23/2016
$0.00
County Sales/Use Tax 100.217030
$260.00
$260.00 06/23/2016
$0.00
Plan Check Fee 1000.444010
$451.43
$451.43 05/12/2016
$0.00
Stormwater PIF 5040.473510
$71.67
$71.67 06/23/2016
$0.00
TOTAL FEES:
$3,266.68
$3,260.68
$0.00
�
:
TO 0
TOTAL BALANCE DUE. OF ; 6/23/2016:
19.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct