HomeMy WebLinkAbout624 SMITH ST - PERMITS - 11/19/2012CityOT Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1206556
Issued Full: 11/19/2012
Permit Type: New Secondary Building
Site Address: 624 SMITH ST
Job Valuation: $24,005.00 Category: Acsry Bldg <650 SF -Res
Owner: PRICE MARIA ELENAMANSEN SETH
624 SMITH ST
FORT COLLINS, CO 80524 Phone:
Zoning: Front setback: Rear setback: 10 Right setback: 5 Left setback: 15
Minor Amend M Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 600 Com sq ft:
# of stories: Occ Group: _
Fire Sprkir: Stock plan #:
Contractor: THOMAS &THOMAS
P.O. BOX 88
FORT COLLINS, CO 80522
Subcontractorui ==
Electrical: I CJ'S ELECTRIC INC
Roofing: L ROCKY,MOUNTAIN ROOFER
Concrete: MERRIAM CONCRETE INC
Job Contact: TOM (KNEBEL
Work Description: Construct 600 souare foot data
attached carport. Demo permit B1206550 for existing 3
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type: V-B
Stock plan options:
License #: D-106 Supervisor cert#: 319-21
Phone: 970-224-4303
Phone
970=227=5336
ND 970-224-1200
970-226-575U2'
on concrete -slab with electrical no heat and
License Number
ME-416
'--�R-1783
CC-110+
SCHEDULE INSPECTIONS: "•• By Phone: 970-221-6769 ""' By Web: http://amos.fcgov.com/CltizenAccess
"""By Mobile Device: http://amos.fcgov.com/CltizenAccess/amca/
Inspections: UGE SBF FD UGP FR RE EG RP RM GL IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 11/19/12: $1.221.75 Payment method: Check 1713
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: zol_� PrintName: ���� /� Date: vv A /��
Forth Revised Oct 2010
Fart Colons
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 624 SMITH ST
Job Valuation: $24,005.00 Category: Acsry Bldg <650 SF -Res
Building Permit #: B1206556
Issued Full: 11/19/2012
Permit Type: New Secondary Building
Transactions
Method Check Number Date Paid
Check CK # 1713 11/19/2012
Amount Paid
$1,025.45
Comments
Paid by Thomas & Thomas ck #1713
Check CK # 1743 10/30/2012
$196.30
Paid by Thomas & Thomas ck #1743
Receipt Issued: 11/19/2012 Total Paid to Date:
$1,221.75
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$407.70
$407.70
11/19/2012
$0.00
City Sales/Use Tax 251.122030
$462.12
$462.12
11/19/2012
$0.00
County Sales/Use Tax 100.217030
$72.02
$72.02
11/19/2012
$0.00
Plan Check Fee 1000.444010
$196.30
$196.30
10/30/2012
$0.00
Stormwater PIF 5040.473510
$83.61
$83.61
11/19/2012
$0.00
TOTAL FEES:, $1,221.75 $1,221.75
TOTAL B O CEDUE-AOS'OF 11%19/2012:
O
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010