HomeMy WebLinkAbout412 SMITH ST - PERMITS - 9/12/2016Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605078
Issued Full: 09/12/2016
Permit Type: Residential Alteration
Site Address: 412 SMITH ST
Job Valuation: $3,000.00 Category: Residential Remodel
' Owner: MEYER TAYLOR D
412 SMITH ST
FORT COLLINS, CO 80524-2938 Phone: 970-443-4366
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: V-B
Fire Sprklr: Stock plan #: Stock plan options:
Contractor:
License #:
Phone:
Phone
970-443=4366 .
Supervisor cert #:
License Number
Work Description: Kitchen remodel of 18.7sf to include: a mudroom with washeridryer and new tankless water heater, relocating
dishwasher, and creating a new window . Homeowner affidavit on file:
I SCHEDULE INSPECTIONS:
*** By Phone:
970-221-6769
*** By Web: http://www.fcgov.com/CitizenAccess
***By
Mobile Device:
http://www.fcgov.com/CitizenAccess/mobile
Inspections: EG RP RM GL
SBF FD UGP
FIR FP RE
IN FNB FNE FNP FNM
TOTAL FEES PAID AS OF 09/12/16: $170.78 Payment method: Check 000
" 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 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.
Signature: �%� Print Name: 7ftYL04
Date: 7_12-20f6
Form Revised Oct 2010
City of
F6rt
Collins
ISite Address: 412 SMITH ST
IJob Valuation: $3,000.00 Category: Residential Remodel
Transactions
Method
Check Number
Date Paid
Amount Paid
Check
CK# 000
09/12/2016
$74.41
CreditCardCK#0425
08/30/2016
$96.37
Receipt issued:
09/12/2016
Total Paid to Date:
$170.78
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Comments
Building Permit M B1606078
Issued Full: 09/12/2016
Permit Type: Residential Alteration
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs
1000.422010
$200.14
$200.14
09/12/2016
$0.00
Building Permit Fee w/Subs
1000.422010
-$96.86
-$96.86
09/12/2016
$0.00
City Sales/Use Tax
251.122030
$192.50
$192.50
09/12/2016
$0.00
City Sales/Use Tax
251.122030
-$134.75
-$134.75
09/12/2016
$0.00
County Sales/Use Tax
100.217030
-$22.75
-$22.75
09/12/2016
$0.00
County Sales/Use Tax
100.2.17030
$32.50
$32.50
09/12/2016
$0.00
Plan Check Fee
1000.444010
-$96.37
-$96.37
09/12/2016
$0.00
Plan Check Fee
1'000.444010 .
$96.37
$96.37
08/30/2016
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.