HomeMy WebLinkAbout417 N GRANT AVE - PERMITS - 9/21/2016Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:
B1605248
Issued Full:
09/21/2016
Permit Type:
Demolition
j Site Address: 417 N GRANT AVE
Job Valuation: $7,200.00 Category: Residential Remodel
Owner: LENOCH JULIANNA B/TOREY D
2200 ARBORETUM DR
MADISON, WI 53713-1002 Phone: 970-219-0823
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: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert#: 2445-D1
Work Description: Demolition o.f a single family home
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNB
TOTAL FEES PAID AS OF 09/21/16: $50.00 Payment method: Credit Card
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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: Date: '2I Syr LW l
4
Form Revised Oct 2010
City ot
F6rt Collins
Site Address: 417 N GRANT AVE .
Job Valuation: $7,200.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605248
Issued Full: 09/21/2016
Permit Type: Demolition
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 09/12/2016 $50.00
i Receipt issued: 09/21/2016 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $50 1000.422010 $50.00 $50.00 09/12/2016 $0.00
TOTAL FEES: $50.00 $60.00 $0.00
TOTAL BALANCE DUE AS OF 09/21/2016: 1100
Fee Amounts are valid for date of this document only. Fees subject to change without notice.