HomeMy WebLinkAbout621 SYCAMORE ST - PERMITS - 11/1/2016-
I C�ty O Community Development 8 Neighborhood Services
r 281 N. College Ave Fort Collins, CO 80522
970.221.67tio 970.224.6ig¢
Fort Collins -fax
Building Permit #: B1606435
Issued Full: 11/01/2016
Permit Type: Demolition
Site Address: 621 SYCAMORE ST
Job Valuation: $3,000.00 Category: Single Family Detach Res
Owner: KALLENBERGER BRYAN J/JULIEA
621 SYCAMORE ST
FORT COLLINS, CO 80521-1937 Phone:
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: NORTHWEST PROCESSING License DM-2066 Supervisor cert#:
#:
3908 Ridgeway Ct.
Fort Collins, CO 80526 Phone: 970-566-0696
Subcontractor(s) Phone License Number
Demolition: NORTHWEST PROCESSING 97a-566-0696 DM-2066
Job Contact: KALLENBERGER BRYAN J/JULI,E A
Work Description: Complete demolition of 888 sq ft single family detached home. State Demolition Approval on file and construction
waste management plan Job Contact: Julie Kalkenberger 970-420-9119
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: FNB
TOTAL FEES PAIDAS OF 11/01/16: $50.00 Payment method: Credit Card 6680
*" 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: Date:
Form Revised Oct 2010
j __., Community Development & Neighborhood Services
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281 NCollegeAve Fort Collins CO 8022
1A, Fort Collins970.221.676o 970.22 61 Sax
4• 34 -fax
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Building Permit #: B1606435
Issued Full: 11/01/2016
Permit Type: Demolition
Site Address: 621 SYCAMORE ST
Job Valuation: $3,000.00 Category: Single Family Detach Res
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 6680 10/31/2016 $50.00 JULIE KALLENBERGER paid with CC.
Receipt issued: 11/01/2016 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Permit Flat Fee w/o Subs $50 1000.422010 $50.00 $50.00 10/31/2016
TOTAL FEES:
$50.00 $60.00
TOTAL BALANCE DUE AS OF 11/01/2016:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.