HomeMy WebLinkAbout406 W Laurel St - Permits/Demolition - 10/21/2011of
,,F.,�oirt� Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 406 W LAUREL ST
Job Valuation: $22,000.00 Category: Fraternal Organization
Owner: EPSILON THETA CORP
7216 S DEXTER CT
CENTENNIAL, CO 80122
Phone:970-556-9111
Building Permit #:
131109483
Issued Full:
10/21/2011
Permit Type:
Demolition
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD: 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: MARTIN & SONS EXCAVATING License #: DM-1840 Supervisor cent #:
18868 WCR 3
BERTHOUD, CO 80513 Phone: 970-635-0404
SubcontractoRif __ Phone License Number
Demolition: i MARTIN & SONS EXCAVATING 970-635-0404 �_DM-1840 _
Job Contact: STEVEN ,MARTIN
Work Description: DEMOLITION OF ONE STORY EXISTING HOUSE. TO INCLUDE 1818 SF. GAS AND ELECTRIC=HAVE
BEEN TERMINATED. BUILDING OWNER AUTORIZATION ON FILE. �y
**SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess**
Inspections: FNB
TOTAL FEES PAID AS OF 10/21/11: $50.00 Payment method: Check 1654
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's 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 became 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: S4-t V t,,, Date: (b - Z I — I(
Fonn Revised Oct 2010
Fart` Cry
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109483
Issued Full: 10/21/2011
Site Address: 406 W LAUREL ST
Job Valuation: $22,000.00 Category: Fraternal Organization
Transactions
Check CK#1654 10/21/2011 $50.00
Receipt issued: 10/21/2011 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $50 1000.422010 $50.00
TOTAL FEES:
Permit Type: Demolition
Comments
PAID BY MARTIN AND SONS CH#1654
Amount Paid Date Paid Amount Due
$50.00 10/21/2011 $0.00
$50.00 $50.00
TOTAL BALANCE DUE AS OF 10/21/2011:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct2010