HomeMy WebLinkAbout1213 W Elizabeth St - Permits/Tenant Finish - 02/16/2006Community 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 1213 W ELIZABETH ST #A
PERMIT TYPE
CIMALAD Corn/Ind/Mixed Alt/Addition
Last Name, First, Middle Initial
W
NICOL CAMPUS WEST LIMITED
BUILDING PERMIT
Building Valuation
B0507300
ACCOUNT
PERMIT DATE
02/ 16/2006 Plan Check Fee
PERMIT LEVEL CATEGORY TYPE
ISSU FUL ' Restaurant/Permttz,H%
Construction Type Occupancy Group
City Sales/Use Tax
Z Address City/State
3 PO BOX 728 1 FORT COLLINS, CO
U Zip $0522 Phone No.
Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
CC
Subdivision/PUD -
Filing
a
wLot
Block
Lot Area
Parcel No.
u.
- 9715429004
OCompany
Name
Contractor License No.
BELEHOY CONSTRUCTION
B 125
Address
City/State
3109 S. TAFT HILL RD
FORT COLLINS CO 8052
Z
Phone
Supervisor Cert. No.
U
970 226 0836
256 B
Electrical
License No,
T
W
Mechanical
License No.
r0
Roofing
License No.
H
Z
Framing
License No.
U
m
Plumbing
License No.
<n
n + c
Concrete
License No.
TENANT FINISH - FOR "ROAD 34 DELI & TAVERN'
INCLUDES NEW GREASE TRAP WITH LIFT STATIONS
OWNER AUTHORIZATION ON FILE
CONCRETE WORK BY G.L. HOFF
INCLUDES NEW HVAC SYSTEM
WQ No. of Stories Building Height
U Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
SBF
NP
RM
CL
IN
FNB
FNE
FNP
FNM
UGE
FO
H00
SPI
UGP
SWR
WTR
FR
AW
HAN
RE
EC
As a condition 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, bandoned or inspected within 180 days from the date of such permit or from the date'of the last inspection.
Print name of owner/agent Signature Date
Sewer PIF '
$313.$5 12/15/01
$1,800.00 2/16/01
$1,117.00 2/16/01