HomeMy WebLinkAbout624 S LOOMIS AVE - PERMITS - 6/10/2019C'}" �T Community Development & Neighborhood Services
281 N. College Ave Fort Collins,. CO So522
F6rt Collins
97o.22i.676o 970.224.6i34 -fax
Building Permit #: B1903464
Issued Full: 06/10/2019
Permit Type: Residential Alteration
iite Address: 624 S LOOMIS AVE
ob Valuation: $1,500.00 Category: Residential Remodel
ANTARES DEVELOPMENT LLC
5200 ABBEY RD
FORT COLLINS, CO 80526-3953 Phone: 970-231-4441
Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Subdivision/PUD:
le: Res sci ft: 0 Com sci ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
ItraCtor: SITE INDUSTRIES DBA BASEMENT ESCAPE
519 N Overland Tr .
FortCollins, CO 80,521
)contractor(s14
Contact: i Brian Stephenson r L7
LF_
Filing #: Lot #: 2 - Block #:
Ind sci ft: _
ConstType: V-B
Stock plan options:
Basement sci ft:
License #: D-815 Supervisor cert#: 1058-D1
Phone: 970-227-0789
;--Phone License Number
ff / 970-227.-b789
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Work Description: Installation of Q)'basement egress wtndow.--'`__� i
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 206 200 202 204 100 101 102 203 205 201 207 303 301 300 302
TOTAL FEES PAID AS OF 06/10/19: $105.76 Payment method: Credit Card 5423
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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: / Print Name: (�� l �— / �� L�492 Date: �01Z019
orm Revised Oct 2010
Fo��r'fCollins
Site Address: 624 S LOOMIS AVE '
Job Valuation: $1,500.00 Category: Residential Remodel
Transactions
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134""-fat
Building Permit'#: B1903464
Issued Full: 06/10/2019
Permit Type: Residential Alteration
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 5423 06/10/2019 $105.76
Receipt issued: 06/10/2019 Total Paid to Date: $105.76
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $70.88 $70.88 ' 06/10/2019 $0.00
City Sales/Use Tax 251.122030 $28.88 $28.88 06/10/2019 $0.00
County Sales/Use Tax 100.217030 $6.00 $6.00 06/10/2019 $0.00
TOTAL FEES: $105.76 $105.76- $0.00
TOTAL BALANCE DUE AS OF 06/10/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.