HomeMy WebLinkAbout4745 Boardwalk Dr - Permits/Tenant Finish - 04/19/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
� Phone(970) 221-6760 Fax(970) 224-6134
JOB SITE ADDRESS 4745 BOARDWALK DR #tC-1
PERMIT TYPE I
CIMALAD COM/IND/MIX-ALT/ADDITION
z
0
O
Z
Z
O
N
80527-1970
BUILDING PERMIT
Building Valuation
B0101683
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- I q
U.UU
ACCOUNT
fEE
BATE P
PERMIT DATE
04/ 19/2001
Plan Check Fee
6nilding Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
'
$336. j0
$699,30
;2,001.30
$533.6
3/30/01
4/19/01
4/19/01
4/iWt
ERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
MEDICAL
Construction Type
Occupancy Group
CO
p No. of Stories
o
Building Height
Building Square Footage Stock
PlarVOptions
coning uiBuim HC
(Z)ee reverse side for Inspection Descriph
5BF RP RN
Filing
GL IN FNB
FNE FNP FNH
UG E F D S P I
Block
Lot Area
0
Parcel
9601163002
Contractor License No.
iRUCTION
B-154
UGP SWR NTR
FR AN HAN
RE
1970
City/State
FORT COLLINS CO 80527
Supervisor Cert. No.
TENANT FINISH FOR CHIROPRACTOR OFFICE (DR SCOTT). 3815 SQ FT.
As a pondition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete 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 or from the date of the last inspection.
Print name of owner/agent +�^atur Date