HomeMy WebLinkAbout816 E LAKE ST - PERMITS - 10/5/2018F6rtCollins
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1802900
Issued Full: 10/05/2018
Permit Type: Residential Addition
Site Address: 816 E LAKE ST
Job Valuation: $52,000.00 Category
Residential Remodel
Owner: HAWORTH KELLY MARIE/MATTHEW RICHARD
816 E LAKE ST
FORT COLLINS, CO 80524-4206 Phone:
Zoning: Front setback: Rear setback: 48' Right setback: 25' Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: GARDNER CONSTRUCTION_
PO BOX 1134 `
LAPORTE, CO 80535 i
Subcontractof(s)` 1
Electrical: FADNESS ELECTRIC
Mechanical: LEMONS HEATING !&IC00LIN
Plumbing: COLORA'DO PLUMBING INC
Roofing: I GORDO ROOFIN6LLC
Job Contact: j DOYL`E",GARDNER
r ,
Work Description: 10/2/2018•Revisions submitted to it
391 sf.
Enclose existing patio cover 236 �,ft_for conditioned
Filing M Lot #: Block #:
Ind sq ft: Basement sq ft:
ConstType: V-B
Stock plan options:
License #: D-576
Phone: 970-566-1770
Supervisor cert#: 2463-D1
License Number
I ME-977
L
rJ H-1736__:�>
IV1P�13
i R 20784
room into a bedroom and
space. Job contact: Doyle Gardner 970-566-1770.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 101 102 203 205 200 204 207 303 301 300 302 206 100 202 201
TOTAL FEES PAID AS OF 10/05/18: $2,197.01 Payment method: Check 2333
** 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 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.
Signature: 1 Print Name:"L�Rtjt, (',g,� Date:
F rrn Revised Oct 2010
art Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Site Address: 816 E LAKE ST
Job Valuation: $52,000.00 Category: Residential Remodel
Building Permit#: B1802900
Issued Full: 10/06/2018
Permit Type: Residential Addition
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#2209 04/24/2018 $342.23
Check CK#2333 10/05/2018 $1,853.78
Check CK# 2209 04/24/2018 $1.00 D and B Consulting paid by Ck#2209
Receipt issued: 10/05/2018 Total Paid to Date: $2,197.01
Fee Description
Account Code
Fee Amount
Amount Paid
Building Permit Fee w/Subs
1000.422010
$710.78
$710.78
City Sales/Use Tax
251.122030
$1,001.00
$1,001.00
County Sales/Use Tax
100.217030
$143.00
$143.00
Plan Check Fee
1000.444010
$342.23
$342.23
,-,
TOTAL FEES:$2,197.01
$2,197.01
Date Paid
10/05/2018
10/05/2018
10/05/2018
04/24/2018
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.