HomeMy WebLinkAbout704 Mathews St - Permits/Addition or Alteration - 10/18/2004Community 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
SITE ADDRESS
PERMIT TYPE
Mir
Last Name, First, N
WANDERS
Z Address
3
0 Zip
80524-33'
Front Setback
Z_ Right Side Setback
Z
Plat File No.
Subdivision/PUD
J
Q
w Lot
J
OCompany Name
H-
Address
Z Phone
V
Electrical
a:: mecnami
0
Roofing
F
Z Framing
0
V
co Plumbinc
N
Residential Alteration
City/State
F, Phone No.
4f
Rear Setback
Left Side Setback
BUILDING PERMIT
Building Valuation
B0106105 ACCOUNT
PERMIT LEVEL
10 10 2004 Building Permit v/ Subs
CATEGORY TYPE
Residential Remodel City Sales/Use Tax
Occupancy Group
County Sales/Use Tax
0
W No. of Stories
0
V
Building Square Footage
Construction Type
ZBA Case Number Zoning District (See reverse side
Filing RP
' 1
Block Lot Area Parcel No.
►N
0 1 9713217014 FNP
Contractor License No. UG P
RE
License No.
License No.
License No.
License No.
License No
I Concrete I License No. I
Building Height
for Inspection Description)
RM
CL
FNB
FNE
FNM
SPI
FR
FP
RESIDENTIAL INTERIOR BATHROOM REMODEL, MOVE NON-LOADBEARING WALL, ENLARGING EXISTING
BATHROOM AREA ADDING SHOWER. REPLACE MOST OF EXISTING SEWER PIPING IN HOUSE, SOME
MINOR ELECTRICAL AND WATER SUPPLY CHANGES.
W
/HOOMEOWNER AFFIDAVIT/TEST ON FILE
V
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 information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
t l a rt- A
Print name of owner/agent Signature Date TOTAL FEES
FEE I DATE PAID
$51.98 10/18/104
$42.00 10/18/04
$11.20 10/18/04
$105.1