HomeMy WebLinkAbout4609 S Timberline Rd - Permits/Tenant Finish - 09/29/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING
PERMIT
P.O. Box 580 281 N. College Ave.
wilding Voluotion
i Fort Collins, CO 80522-0580 [/
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 g 0 3 0 5 8 81
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
4615 STIMBEEILINE
c Z'29 2
$64.0
9/8/03
PERMIT
TYPE PERMIT LEVEL CATEGORY TYPE
Plan Check Fee
CIMALAD Corn/Ind/Mixed AltifAc ISSU FUL Retail Store:50005
Last Name, First, Middle Initial
Build g P + /
� n erR l b M Subs
$132.9
9/29/03
Construction Type Occupancy Group
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3
Address City/State O No. of Stories Building Height
City Sales/Use Tax
$185.81
9/29/03
O
Zip Phone No. V
County Sales/Use Tax
$49.5
9/29103
Building Square Footage Stock Plan/Options
68154 0 - - 800
Front Setback Rear Setback
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Z
Right Side Setback Left Side Setback • •
2
•
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description
Subdivision/PUD Filing HC C n n n
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Lot Block Lot Area Parcel No. G L 1 N F N B
0 + n+ FNE FNP FNM
Company Name Contractor License No. UE F N S P I
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AANISTER nni r n UUP U�n VTR
Address City/State
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Phone Supervisor Cert. No. P E
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q70, 996 62710
Electrical License No.
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Mechanical License No.
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Roofing License No.
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Framing License No.
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Plumbing License No.
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n n n PI r r Mn 294
Concre a License No.
TENANT FINISH FOR "HARDY'S PHOTO" TO INCLUDE INTERIOR WALLS, ELECTRICAL, HVAC AND PLUMBING.
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BUILDING OWNER AFFIDAVIT ON FILE
LU
Review by KM
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 ai*vgid'if the work authorized by such permit is not
commenced,
susp d, abandooned or inspected within 180 d ofSLfC Pe 'ro a date of the last inspection.
/7-C, Lp
name of owner/agent Signature Date
TOTAL FEES
Print
$432 3