HomeMy WebLinkAbout424 W MOUNTAIN AVE - PERMITS - 9/21/2012Cityof Community Development &Neighborhood Services
Fort Collins 281 N. CollegeAve Fort Collins, CO8og22
970.221.676o 970.224.6134 -fax
Building Permit #: B1205593
Issued Full: 09/21/2012
Permit Type: Demolition
Site Address: 424 W MOUNTAIN AVE
Job Valuation: $500.00 Category: Residential Remodel
Owner: HACKETT TIMOTHY B/EILEEN S
424 W MOUNTAIN AVE
FORT COLLINS, CO 80521 Phone: 970-481-1323
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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: License #: Supervisor cart #:
Phone:
SubcontractoPtfone 11 License Number
Job Contact: HACKETT_TIMOTHY_B/EILEEN S1_, ❑
Work Description: DEMO EXISTING 254 SF PORCH. STATE DEMOLITION NOTICE RECD
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNB
TOTAL FEES PAID AS OF 09/21/12: $50.00 Payment method: Check 5954
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. 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: t Print Name (� , I+� Date:
q-z\ - I Z
Forth Revised Oct 2010
;,arof
t` Collins
Site Address: 424 W MOUNTAIN AVE
Job Valuation: $500.00 Category: Residential Remodel
Transactions
Check CK # 5954 09/19/2012
Receipt issued: 09/21/2012 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $50 1000.422010
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:
B1205593
Issued Full:
09/21/2012
Permit Type:
Demolition
Amount Paid Comments
$50.00 PAID BY TIM HACKETT CH#5954
$50.00
Fee Amount Amount Paid Date Paid
$50.00 $50.00 09/19/2012
$50.00 $50.00
TOTAL BALANCE DUE AS OF 09/21/2012:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
0.00
Form Revised Oct 2010