HomeMy WebLinkAbout1304 S Shields St - Permits/Demolition - 08/12/2013�fCollins
Site Address: 1304 S SHIELDS ST
Job Valuation: $5,000.00 Category: Admin. Offices - Gov.
ty Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 8o522
97o.221.676o 97o.224.6134 -fax
Owner: EYECARE LAND MANAGEMENT LLC
1304 S SHIELDS ST
FORT COLLINS, CO 80521-4528 Phone: 970-492-4503
Zoning: Front setback:
Minor Amend #:
Zoning district:
Legal: Subdivision/PUD:
Building Permit #: B1304234
Issued Full: 08/12/2013
Permit Type: Demolition
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #:
HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: MYRTLE TREE CONTRACTING ! : License #: E-300 Supervisor cert#:
2275 BELLWETHERLN'
FORT COLLINS, CO 80521 ���� ,� l /� �� Phone: 970-3104988
Job Contact: GRANT EVERITT
Work DesCnption: Ain o>\nieriordemolition of office sF
r one License Number
O
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNB
TOTAL FEES PAID AS OF 08/12/13: $50.00 Payment method: Credit Card
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedere that I am the owneror 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 daysfrom the date of such permit.
Signature: Print Name: iCLA` 1)Date: 911213
Form Revised Oct 2010
FrfCollins
Site Address: 1304 S SHIELDS ST
Job Valuation: $5,000.00 Category: Admin. Offices - Gov.
Transactions
Credit Card 08/12/2013
Receipt issued: 08/12/2013 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $50 1000.422010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134-fax
Building Permit #:
B1304234
Issued Full:
08/12/2013
Permit Type:
Demolition
Amount Paid Comments
$50.00 Pay by Michael Brown credit card
$50.00
Fee Amount Amount Paid Date Paid Amount Due
$50.00 $50.00 08/12/2013 $0.00
TOTAL FEES: $50.00 $50.00 $0.00
% \ TOTAL BALANCE DUE AS OF 08/1212013: 0.00
% r ,
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010