HomeMy WebLinkAbout605 W LAKE ST - PERMITS - 5/19/2009Site Address: 605 W LAKE ST
Job Valuation: $0.00 Category: Rooming/Boarding House
Owner: SWANSTROM, JAMES R
400 CORMORANT CT
FORT COLLINS, CO 80525
Zoning: Front setback: Rear setback:
Zoning district: HMN Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor:
Subcontractor(s)
i
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902436
Issued Full: 05/19/2009
Permit Type: Change Of Use
Phone: 225-0170
_ Right setback:
ZBA Case #:
Filing #:
Ind sq ft:
Const Type:
Stock plan options:
License #:
Phone:
Phone
i
Left setback:
Minor Amend #: 1600-20
Lot #: Block #:
Basement sq ft:
Supervisor cert #:
License Number
Work Description: CONVERT A SINGLE FAMILY HOME INTO A 5 BEDROOM BOARDING HOUSE. --NO NEW
CONSTRUCTION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: FNB
TOTAL FEES PAID AS OF 05/19/09 $100.00 Payment method: Check 9567
** 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.
Signatur
Form Revised ct 2008
Print Names di!h . SVV1X'0-'LDate: osl l t
of
F6rtCollins
Site Address: 605 W LAKE ST
Job Valuation: $0.00 Category: Rooming/Boarding House
Tr�nco^fi^nc
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902436
Issued Full: 05/19/2009
Permit Type: Change Of Use
Method Check Number Date Paid Amount Paid Comments
Check CK # 9567 05/04/2009 $100.00 SWANSTROM CK# 9567
Receipt issued: 05/19/2009 Total Paid to Date: $100.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee - $100 1000.422010 $100.00 $100.00 05/04/2009 $0.00
TOTAL FEES: $100.00 $100.00 $0.00
TOTAL BALANCE DUE AS OF 05/19/2009: 0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.