HomeMy WebLinkAbout640 PETERSON ST - PERMITS - 8/10/2018City of Community Development & Neighborhood Services
F6rt Collins 281N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1805628
Issued Full: 08110/2018
Permit Type: Demolition
Site Address: 640 PETERSON ST
Job Valuation: $500.00 Category: Residential Remodel
Owner: BRUYERE BRETT
640 PETERSON ST
FORT COLLINS, CO 80524-3134
Phone: 970-691-7243
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: TREE LINE BUILDERS LLC
License #: C2-113
Supervisor cert #: 2510-C2
141 S COLLEGE AVE, STE 103
FORT COLLINS, CO 80524
Phone: 970-493-9127
Subcontractor(s1__
--Phone
License Number
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Job Contact: BRUYERE BRETT
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Work Description: Demolition of 3 sided all metal 96 square
foot iron sheet-st5ed. Received Asbestos
awareness form -and
Construction Waste Management Plan. 'J
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 303
TOTAL FEES PAID AS OF 08/10/18: $50.00 Payment method: Credit Card 9691
'* 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 ifthe work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature:7P Print Name: TWtf1�✓ `^/Pre Date:
0
Forth Revised Oct 20110
Cityof Community Development & Neighborhood Services
FF6rtCollins
281 N. College Ave Fort Collins, 80522
970.221.676o 970.224.616i34 -fax
Building Permit #: B1805628
Issued Full: 08/10/2018
Site Address: 640 PETERSON ST
Job Valuation: $500.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#9691 07/17/2018 $50.00
Receipt issued: 08/10/2018 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount Amount Paid
Permit Flat Fee w/o Subs $50 1000.422010 $50.00 $50.00
TOTAL FEES:
I / �
$50.00 $50.00
Permit Type
Date Paid
07/17/2018
TOTAL BALANCE DUE AS OF 08/10/2018:
Demolition
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.