HomeMy WebLinkAbout630 SMITH ST - PERMITS - 8/1/20060,1-09 A;�g Community Planning &Environmental Services BUILDING PERMIT
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PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 R 0 6 0 3 5 9
ACCOUNT
FEE.
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
r330 SMITH ST
8 r Z ()
Plan Check Fee
$15.
0 1/26/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
Nc;FCR New Secondary Res
Bldg <650SF-Re
Building Permit w/ Sufi
$68.
8 8/1/0
-Bldg--
Last Name, First, Middle Initial
Construction Type
Occupancy Group
oe
Plan Check Fee
$17.
3 8/1/0
Address
City/State
p
No. of Stories
Building Height
Z
3
9
City Sales/Use Tax
$73.
0 8/1/0
�
Zip Phone
No.
Building Square Footage Stock Plan/Options
Rnrim
-
County Sales/Use flax
$19.
0 8/11/0
Front Setback Rear
Setback
Right Side Setback Left Side Setback
• • •
Z
Z
0
Plat File No. ZBA Case Number Zoning District
NCILA
(See reverse side for Inspection Description'
S B F RP P, M
Subdivision/PUD
Filing
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O L I N F N B
Lot
Block
Lot Area
Parcel No.
J
FNE FNP FNNM
F O S P I U C P
OCompany
Name Contractor
License No.
*rCOLLEEN' c r
FR RE Eu
Addres r City/State
Q
OPhone
FOR; n T n
Supervisor Cert. No.
V
Electrical
License No.
oe
Mechanical
License No.
Roofing
License No.
F--
Z
Framing
License No.
V
ca
Plumbing
License No.
rn
Concrete
License No.
MOVE EXISTING 330 SQ FT GARAGE TO BE PLACED ON NEW MONOLITHIC SLAB
�7< HOMEOWNER AFFIDAVIT ON FILE (ALL WORK TO BE DONE BY HOMEOWNER INCLUDING MOVING)
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As a c ndition 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 f the dale of such permit or om the date of the last inspection. l9 fle 1 CJ�eW il../' LAze�Z04 42M4
Print name of owner/agent Signature Date TOTAL FEES $194. 1