HomeMy WebLinkAbout209 3rd St - Permits/Demolition - 05/21/2015F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:
B1503769
Issued Full:
05/21/2015
Permit Type:
Demolition
Site Address: 209 3RD ST
Job Valuation: $1.00 Category: Single Family Detach Res
Owner: KLAMM CHARLES
209 3RD ST
FORT COLLINS, CO 80524-2516 Phone: 970-308-2520
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories
Fire Sprklr:
Contractor:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
License #:
Phone:
Supervisor cert#:
Subcontractor(s) _ IPhone License Number
Job Contact: KLAMM CHARLES 970-308-2520 -
Work Description: Demolition of a 480 square foot house in accordance to home being condemned on April 20th, 2015 by Mike
Gebo. Received State demolition application and Waste Management Plan (homeowner will dispose of any material per State
asbestos requirements). Home owner affidavit on file.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess . II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNB
TOTAL FEES PAID AS OF 05/21/16: $50.00 Payment method: Cash
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or 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 become 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: C4 , e S (�- 1a., Date: r5- 12 (17,3r-�—
Form Revised Oct 2010
No Text