HomeMy WebLinkAbout623 W MOUNTAIN AVE - PERMITS - 1/6/2020City of ..
Fort Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1917008
Issued Full: 01/06/2020
Permit Type: Demolition
Site Address: 623 W MOUNTAIN AVE
Job Valuation: $13,790.00 Category: Residential Remodel
Owner: STERNLIEB SUSAN JOY
623 W MOUNTAIN AVE
FORT COLLINS, CO 80521-2608
Zoning: Frontsetback:
Rear setback:
Phone: 970-420-4274
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code'. Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: EMPIRE CARPENTRY LLC•
PO BOX 245
BELLVUE, CO 80512
Subcontractorls)__=
Electrical: I BRIAN'S-ELECTRIC-,CO-L-LC,
Job Contact: !--- IN MURRAY I
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: C1-2 Supervisor cert#:
Phone: 970-493-3499
- rs
_-Phone
�I 976-484-5085- _
!! ( 970493--3499"Fi
'
License Number
Work Description: Demolition of 648 sfgarage with attached shed roof -in---- paration for new garage.
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IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcaov.com/CitizenAccess ** Online Portal via Mobile Device: fcoov.com/CitizenAccess/mobile
IlPossible Insoections Reauired: 303 11
TOTAL FEES PAID AS OF 01/06/20: $50.00 Payment method: Credit Card 0480
'* 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: Print Name: /�l c Date: lDoLO
Form Revised Oct 2010
City �T Community Development & Neighborhood Services
Fort Collins 28iN.College Ave Fort Collins ,C08o522
970.221.676o 97o.224.6134-fax
Building Permit #: B1917008
Issued Full: 01/06/2020
Permit Type: Demolition
Site Address: 623 W MOUNTAIN AVE
Job Valuation: $13,790.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Credit Card CK#0480 01/06/2020
Receipt issued: 01/06/2020 Total Paid to Date
Fee Description Account Code
Permit Flat Fee w/o Subs $50 1000.422010
TOTAL FEES:
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Amount Paid Comments
$50.00
$50.00
Fee Amount Amount Paid Date Paid
$50.00 $50.00 01/06/2020
$50.00 $50.00
TOTAL BALANCE DUE AS OF 01/06/2020
Amount Due
$0.00
$0.00
0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.