HomeMy WebLinkAbout424 W MOUNTAIN AVE - PERMITS - 10/2/2012arof
t Collins
Site Address: 424 W MOUNTAIN AVE
Job Valuation: $7,000.00 Category: Residential Remodel
Owner: HACKETT TIMOTHY B/EILEEN S
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1205594
Issued Full: 10/02/2012
Permit Type: Deck
424 W MOUNTAIN AVE
FORT COLLINS, CO 80521 Phone: 970-481-1323
Zoning: Front setback: 0 to existing Rear setback: 55 Right setback: 18 Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 254
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan M
Contractor: `
Subcontractor(s) `- Ph`one
Job Contact: HACKETT TIMOTHY_B/EILEEN S V
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Work Descriotion: RECONSTRUCT 254 SF DECK. JOISTS.
FOUNDATION TO REMAIN AS,IS..HOMEOWNER=AFFIDAVIT Ol�
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
" License #:
Phone:
Basement sq ft:
Supervisor cert#:
License Number
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ROOF COVER AND
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections: SBF FD FIR FNB
TOTAL FEES PAID AS OF 10/02/12: $349.63 Payment method: Check 5957
Fee Detail Displayed on Next Page
Asa 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 wank. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall became nuO and void if the wads authorized by such permit is not commenced,
suspended, abandoned or riot inspected within 180 days from the date of such per mtL
Signature: Print Nam j�Vht. GEC Date'
Form Revised Oct 2010
arof
t Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1205594
Issued Full: 10/02/2012
Permit Type: Deck
Site Address: 424 W MOUNTAIN AVE
Job Valuation: $7,000.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 5957 10/02/2012 $273.25 PAY BY TIM HACKETT CHECK # 5957
Check 09/19/2012 $76.38 PAID BY TIM HACKETT CH#5955
Receipt issued: 10/02/2012 Total Paid to Date: $349.63
Fee Description
Building Permit Fee Without
Subs
City Sales/Use Tax
County Sales/Use Tax
Plan Check Fee
Account Code
1000.422010
251.122030
100.217030
1000.444010
i
TOTAL FEES:
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4
Fee Amount Amount Paid Date Paid
$117.50 $117.50 10/02/2012
$134.75
$134.75
$21.00
$21.00
$76.38
$76.38
$349.63
$349.63
OF
10/02/2012
10/02/2012
09/19/2012
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
I I r---
10/02/201R70
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010