HomeMy WebLinkAbout412 E Pitkin St - Permits/Demolition - 08/14/2007f �f�t mac//r6
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
» Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0705541
t'ih of I ort t oI Iin', Job site address: 412 E PITKIN ST
Building Valuation: $8,500.00
Category: Residential Remodel Permit type: Demolition
Owner: BLASER, SARAH J
412 E PITKIN ST
FORT COLLINS, CO 80524 Phone: 310-6598
Issued Full 08/14/2007
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: NCM Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories: _
Stock plan #:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft:
Occ Group: Const Type:
Contractor: ARMSTEAD CONSTRUCTION
PO BOX 330
LAPORTE, CO 80535
Subcontractors) ji
Job Contact: SCHNEIDER
I vvl
Stock plan options:
Basement sq ft:
License #: D-362 Supervisor cart #: 2286-D1
Phone: 970-472-1113
Phone
970.472-1113
License Number
Description: DEMOLITION OF SINGLE FAMILY RESIDENCE APPROX. 1,000 SQ FT ABOVE GRADE WITH
)X 800 SQ FT BASEMENT - UTILITIES CAPPED OFF
DEMO APPROVAL NOTICE FROM THE STATE OF COLORADO
*****""""To scneawe inspectons can yiv-LLr -orva
Required inspections: FNB
TOTAL FEES PAID AS OF 08/14/07 50.00 Payment method: Check 1084
As a condition for the issuance of a permit, I hereby declare that 1 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.
Signature: Print Name:joX b?zs�'// Date: �/ ✓
Fee Items Conlin on Next Page
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City of fort Collins Building and Zoning Dept. P.O. Box 580 Fort Collins, CO 80522
Phone 970-221-6760 Fax 970-224-6134
OVER-THE-COUNTER PERMITS ONLY
Use this application to apply for a permit for any of the following: (check ali that appry) ❑ air condjtjoning,demolition
(interior non-structural), ❑ electrical alteration (not service change), ❑ gas lighter, ❑ gas line, ❑ gas log, ❑ heating unit,
❑ lawn sprinkler, ❑ mobile home replacement, ❑ roofing, ❑ sewer line, ❑ ventilation, ❑ water heater, ❑ water line,
❑ wood stove (*provide model name & number).
Complete all areas of the applications that are applicable to your permit request -Incomplete applications will not be
accepted. An over-the-counter permit will only be valid when it has been paid -in -full and issued.
Application # /� C�
office Date
(for oce unse onlly) J
Property Crooner Name Address
Applicant Name Address
Contractor Name City Lic # �`36`? Address
Contractor City of Ft. Collins sales tax #
lob Site Address
z1P
zip
33D�a��.Gd Bad
L �30 dQ e
Pay taxes here? ❑ Yes
Phone -7? /d
Phone
Phone y7,7-1//-S
❑ No
Value of Construction (labor, material, profit)
$ �?'�-oo , oD
Is this a residential project? k Yes ❑ No
If residential is it: k Single family detached ❑ Condo/Townhome (single family attached))
❑ Multifamily (apartment) ❑ Garage
Is this a commercial project? ❑ Yes 0 No
If commercial is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical Office
❑ Restaurant ❑ Other(explain)
Is this building 50 years of age or more? Yes ❑ No
If yes, you may need to get historic preservation approval prior to permit issuance.
Description of
❑ Duplex
❑ office ❑ Retail
**If lawn sprinkler/backflow preventer installation, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: (list the contractor company name or license #) - r'wtie-
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances and state laws regula building construction.
Applicant:~
Print Name / Signature
Date
e