HomeMy WebLinkAbout420 SMITH ST - PERMITS - 6/3/2019City of
F6rt Collins
,ite Address: 420 SMITH ST
ob Valuation: $3,770.00 Category
Owner: PRAXIS PROPERTIES LLC
5004 WEST BAY DR
FORT COLLINS, CO 80526
Residential Remodel
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1903821
Issued Full: 06/03/2019
Permit Type: Residential Alteration
Phone: 970-204-0567
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories: _
Fire Sprklr:
Filing* Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type: V-B
Stock plan M Stock plan options:
Contractor: SITE INDUSTRIES.DBA,BASEMENT ESCAPE
519 N Overland Tr,
Fort Collins, COI 80521
Subcontractoris)____=j
Job Contact: ; Brian Stephenson
I.! 3 a
Work Description: Installation of one -egress window on south -side of
License #: D-815 Supervisor cert#:
Phone: 970-227-0789
0789 �?
-Brian Stephenson -
License Number
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 206 200 202 204 100 101 102 203 205 201 207 303 301 300 302
TOTAL FEES PAID AS OF 06/03/19: $261.15 Payment method: Credit Card 2468
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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 assodated 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.
Carbon Monoxide Alayo required within 15 feet of each bedroom entrance.
Signature:iZ Print Name: 5ryw WuzDate: C I GrOI
Form Revised Oct 2010
City of
F6rt Collins
Address: 420 SMITH ST
Valuation: $3,770.00 Category: Residential Remodel
Transactions
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1903821
Issued Full: 06/03/2019
Permit Type: Residential Alteration
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 2468 06/03/2019
$204.76
Credit Card CK# 2468 05/30/2019
$56.39
Receipt issued: 06/03/2019 Total Paid to Date:
$261.15
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$117.11
$117.11
06/03/2019
$0.00
City Sales/Use Tax 251.122030
$72.57
$72.57
06/03/2019
$0.00
County Sales/Use Tax 100.217030
$15.08
$15.08
06/03/2019
$0.00
Plan Check Fee 1000.444010
$56.39
$56.39
05/30/2019
$0.00
TOTAL FEES: 1 $261.16 $261.16
r �
$0.00
L J
- TOTAL:BALANCE DUE AS OF 06/03/2019: L1.00
lllAAf ,-------------
'�..s.
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010