HomeMy WebLinkAbout604 CORNELL AVE - PERMITS - 5/5/2006Community Planning &Environmental Services BUILDING
� � � � � � � PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580f$
City of Fort Collins
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phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 2 0 6 5
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 604 CORNELL AVE
PERMIT DATE
05/05/2006
Building Permit >r/ Subs
Plan Check Fee
$345.60
$15.
5/5/06
5/5/06
PERMIT
TYPE
MIN-ALT Minor Residential Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential Remode
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Cie
ROBERTS, RHYS
I
City Sales/Use Tax
$658.45
5/5/06
Z
Address
City/State
wp
No. of Stories
Building Height
3
604 CORNELL AVE
FORT COLLINS, CO
o
1
County Sales/Use lax
$175.
9 5/5/06
Phone
Zip 80525
No.
482-3943
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
,
0
• • •
_Z
Right Side Setback Left
Side Setback
Z
NPlat
'
File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description
R P R M G L
J
Subdivision/PUD
Filing
IN F N B F N E
Block
Lot Area
0
Parcel No.
9724313004
WLot
FMP FNM SPI
D D P F R FP
o'
Company Name Contractor
License No.
G
ROBERTS RHYS
RE
Address City/State
FDRI co��INQ cV
8052
OPhone
482 3943
Supervisor Cert. No.
V
Electrical
License No.
W
Mechanical
License No.
Roofing
License No.
H
OFraming
License No.
V
m
Plumbing
License No.
N
Concrete
License No.
REMODEIRELOCATE KITCHEN, NEW HARWOOD FLOORS, ELECTRICAL
PER 2005 NEC PLUMBING PER 2003
IRC
HOMEOWNER AFFIDAVIT ON FILE
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.
r-,Ks &-eAsA,to
Print name of owner/agent Signaturel Date TOTAL FEES �1,194