HomeMy WebLinkAbout401 Mathews St - Permits/Demolition - 06/05/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS4o1
PERMITTYPE
DEMO Demolition
Last Name, First, Middle Initial
WILSON, DANIEL
ZAddress
3924 ELMHURST DR
O zip
Front Setback
0
Z_ Right Side Setback
Z
14 Plat File No.
Subdivision/PUD
J
Q
w Lot
J
OCompany Name
Address
Z Phone
V
Electrical
ZBA
MATHEWS ST
Block ILot Area
FORT WLLINS, CO
Phone No.
218-4729
Rear Setback
Left Side Setback
Zoning District
Filing
Parcel No.
0 9712331008
Contractor License No.
City/State
BUILDING PERMIT
Building Valuation
B0303331 ACCOUNT
PERMIT DATE
06/05/2003 luilding Permit w/ Subs
LEVEL CATEGORY TYPE
ISSU FUL I Residential Remodel
Construction Type Occupancy Group
p No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
oe
Mechanical
License No.
01
URoofing
License No.
F—
Z
Framing
License No.
V
m
Plumbing
License No.
N
Concrete
1 License No.
DEMO OF SHED ROOF
HOMEOWNER AFFIDAVIT ON FILE
W
(See reverse side for Inspection Description)
SLC FNB
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete informatio permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 da rom t date of such permit rom the date of the last inspection.
Print name of owner/agent Ig ature Date TOTAL FEES
FEE DATE PAID
$15.00 6/5/03
$15.00