HomeMy WebLinkAbout2839 S College Ave - Permits/Tenant Finish - 08/07/2003Community Planning & Environmental Services
6 Building & Inspections Division
` P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS2839 S COLLEGE AVE 6
PERMITTYPE
CIMALAD COM/IND/MIX-ALT/ADDITION
Last Name, First, Middle Initial
ck� QUINBY, L E JR TRUST 1 /2
W Address
Z City/State
3 1403 BAROUCHE CT WILMIN(
O Zip Phone No.
28412-5122 566-7011
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B0301
ACCOUNT
FEE
DATE PAID
PERMIT DATE
(16 !-A 7 /�)/ r)
�, , , Ju,,
I
lan Check Fee
Permit v/ Subs
ity Sales/Use lax
aunty Sales/Use Tax
Rin A
$ ! 15.45
$260.55
$450.00
$ 20.00
7 1 !no
1 6, u.,
8/7/03
8/7/03
8 / 7 / 03
LEVEL
ISSU_FUL
CATEGORY TYPE
Residential ;uifuing
Construction Type
Occupancy Group
Wp
0
No. of Stories
Building Height
,
Building Square Footage Stock Plan/Options
_Z
Right Side Setback
Left Side Setback
• • •
W.
Z
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
C
SBF I(,' RM
J
Subdivision/PUD
Filing
w
r
C I F N B
Lot Block Lot Area
Parcel No.
J
o
9726i00034
FNE FNP F N M
U 0 E F u S P i
OCompany
Name
Contractor License No.
CRT
T II RS
01
E J
U u P S W R W T P
Address
City/State
4529 SH0"ELINE ON #5
FORT C9LFINS CO 80526
FR Ak' HAN
Phone
Supervisor Cert. No.
Z
(� E
U
970 223 0522
604 E
Electrical
i ��on�o ti�
w mecnanicai License No.
GFORT CQUINS HEATING rn H n
Roofing License No.
H
ZZ Framing License No.
U
m Plumbing License No.
D
w jjMpJNP n ENOVATIONS MP on,
Concrete License No.
REMODEL EXISTING SPACE FOR PIANO TEACHING BUSINESS
8
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, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
e"011 cmLfy 6144--l- ?- ?-0 3
Print name of owner/agent Signature Date TOTAL FEES
$956.00