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HomeMy WebLinkAbout422 E Oak St - Permits/Addition or Alteration - 09/27/2010of F6rtCollins Site Address: 422 E OAK ST Job Valuation: $700.00 Category: Residential Remodel Owner: ANDERSON, RICHARD C 422 E OAK ST FORT COLLINS, CO 80524 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Phone: 484-0306 Building Permit #: B1005762 Issued Full: 09/27/2010 Permit Type: Residential Alteration Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend M Plat File #: ZBA Case #: Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: TYPE V - NON RATED Fire Sprklr: Stock plan #: Stock plan options: Contractor: License #: Supervisor cert #: Phone: r Subcontracto',r(s)---- ; one I License Number ~—� LI � Work Description: INSTALLATION OF NEW -DOOR AND ROOF`RECONSTRUCTION ABOVE DOOR. HOMEOWNER AFFIDAVIT (NEEDED-)—------' ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess** Inspections: EG RM SBF FD UGP FR FP RE RP GL IN FNB FNE FNP FNM TOTAL FEES PAID AS OF 09/27/10: $33.55 Payment method: Check 12035 " Fee Detail Displayed on Next Page As a condition for the issuance of a permit I hereby declare 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. 1 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 authorv_ed by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit Signature: , , Print Name:A, .,_wktco C. AM pz-;resara Date: Sae'T . Z--7 Z010 Form Revised May 2010 Site Address: 422 E OAK ST Job Valuation: $700.00 Category: Residential Remodel Method Check Number Date Paid Amount Paid Check CK # 12035 09/27/2010 $33.55 Receipt issued: 09/2712010 Total Paid to Date: $33.55 Fee Description Account Code Fee Amount Building Permit Fee w/Subs 1000.422010 $20.25 City Sales/Use Tax 251.122030 $10.50 County Sales/Use Tax 100.217030 $2.80 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1005762 Issued Full: 09/27/2010 Permit Type: Residential Alteration Comments ANDERSON CK# 12035 Amount Paid Date Paid Amount Due $20.25 09/27/2010 $0.00 $10.50 09/27/2010 $0.00 $2.80 09/27/2010 $0.00 TOTAL FEES: $33.55 $33.55 $0.00 TOTAL BALANCE DUE AS OF 09/27/2010: 0.00 1 - �__ L Fee Amounts are valid for date of this document only. Fees subject to change without notice.