HomeMy WebLinkAbout420 E ELIZABETH ST - PERMITS - 5/28/2010City of
F,�t Collins
Site Address 420 E ELIZABETH ST
Job Valuation $2,000 00 Category Residential Remodel
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
970 221 6760 970 224 6134 fax
Budding Permit # B1003044
Issued Full 05/28/2010
Permit Type Residential Minor Alteration
Owner LEIBOLD MARIE C FAMILY TRUST DTD 2/4/02
116 CHARTER CIR
OSSINING NY 10562 Phone 214-4456
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 0 Com sq ft Ind sq ft Basement sq ft
# of stories Occ Group Const Type
Fire Sprklr Stock plan # Stock plan options
Contractor SITE SOLUTIONS-INC License # D-666
1025 N HWY 287 STET#�
FORT COLLINS CO 80524 1 Phone 970 980 6710
Supervisor cert# 1058-Dl
Subcontractor(s) Phone License Number
O O
Work Description It
ENGINEERS REPORT
COMPLIANT WINDOW WELLS
SCHEDULE INSPECTIONS " By Phone 221-6769 ' By Web http !/aaweb fcgov com/CitizenAccess'"`
Inspections FR FNE UGP FP RE RP RM GL IN FNB FNP FNM
TOTAL FEES PAID AS OF 05/28/10 81 88 Payment method Check 5023
Fee Detail! Displayed on Next Page
As a oordition for the issuance of a permt, I hereby dedare that I am the MM Or owners agent, auftnzed to perform the proposed work on the property described herein
1 agree to comply wdh all the requuixrierds coniamed herein and testy ord nances and State laws assoaated with such work 1 urdersiand Chat such peand may be
revoked in the event dial issuance was based on inconed hnfomhation This pemut shag becerne nufl and void d the work auftrized by such perrtut is not cornmericed
suspended abandoned or riot inspected wdtun 180 days from the date of such pertM
ell -
Signature PnntNameI��"Date
Form Revised may
City of Community Development & Neighborhood Services
Fort Collins 281 N College Ave Fort Collins CO 80522
97o 221 6760 970 224 6134 fax
Budding Permit # B1003044
Issued Full 05/28/2010
Permit Type Residential Minor Alteration
Site Address 420 E ELIZABETH ST
Job Valuation $2,00000 Category Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 5023 05/28/2010 $81 88 PAID BY SITE SOLUTIONS CK #5023
Receipt issued 05/28/2010 Total Paid to Date $81 88
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000 422010 $43 88 $43 88 05128/2010 $0 00
City Sales/Use Tax 251 122030 $30 00 $30 00 05/28/2010 $0 00
County Sales/Use Tax 100 217030 $8 00 $8 00 05/28/2010 $0 00
TOTAL FEES $81 88 $81 88 $0 00
CCTCO BALANCE DUE AS OF 05/28/2010 0 00
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