HomeMy WebLinkAbout624 SMITH ST - PERMITS - 10/30/2012F6rt Collins
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1206550
Issued Full: 10130/2012
Permit Type: Demolition
Site Address: 624 SMITH ST
Job Valuation: $1,600.00 Category: Acsry Bldg <650 SF -Res
Owner: JANSEN SETH A
624 SMITH ST
FORT COLLINS, CO 80524
Zoning: Frontsetback:
Phone:970-222-8012
Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: THOMAS&THOMAS
P.O. BOX 88
FORT COLLINS, CO 80522
Subcontract o[Ls)___1
Job Contact: —TOM KNEBEL -
U O
Work Description: DEMOLITION OF 300 SQ FT SHED.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: D-106 Supervisor cart #:
Phone: 970-224-4303
Phone License Number
ASS
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 10/30/12: $50.00 Payment method: Check 364
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 incom:ct 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: C _ Jqul5Qi1 Date:
Form Revised Oct 2010
F�ort` Cam'
Site Address: 624 SMITH ST
Job Valuation: $1,600.00 Category: Acsry Bldg <650 SF -Res
Transactions
Check CK # 364 10/30/2012 $50.00
Receipt issued: 10/30/2012 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $50 1000.422010 $50.00
TOTAL FEES:
$50.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1206550
Issued Full: 10/30/2012
Permit Type: Demolition
Comments
PAY BY SETH JANSEN
Amount Paid Date Paid
$50.00 10/30/2012
$50.00
TOTAL BALANCE DUE AS OF 10/30/2012:
r �' �� ❑
O
L
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 Oct2010