HomeMy WebLinkAbout400 S Meldrum St - Permits/Tenant Finish - 01/06/2003Community Planning & Environmental Services
Building & Inspections Division BUILDING P E RM I T
PERMIT
FEES
�- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City
of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 Bi 0 2 0 7 5 9
1 af0
in nQ
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 400 S MELDRUM ST PERMIT DATE
1/6/2003
Building Permit w/ Subs
$108.6
12/31/02
PERMITTYPE
CIMALAD COWINDIMIX-ALT/ADDITION
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RestauranUCafe
Plan Check fee
; 57, 3
12/31/02
W
Last Name, First, Middle Initial
GREEN, JUDITH L
Wp
Construction Type
Occupancy Group
City Sales/Use Tax
f 150.0
12/31/02
Addr1ss000 POPLAR AVE City/State
BOULDER. CO
County Sales/Use Tax
$40,0
12/31/02
0
V
No. of Stories
0
Building Height
0
0
Zip 80304 Phone No.
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
0
0
N
_Z
Z
• •
Right Side Setback Left Side Setback
Plat File No. ZBA Case Number Zoning District D
(See reverse side For Inspection Description)
Subdivision/PUD Filing
SBF RP RN
J
a
wLot
Block Lot Area Parcel No.
0 9711427013
FNE FNP FNM
Company Name Contractor License No.
SUN CONSTRUCTION a DESIGN C1-84
U G E F D S P I
U G P S W R W T R
FR AW HAN
Address City/
1232 BOSTON AVE LOStateNGM0NT, CO 80501
UO
Phone Supervisor Cert. No.
303-444-4780 872-C1
RE
Electrical License No.
OMechanical
License No.
F--
Roofing
License No.
Framing
License No.
Z
V
Plumbing
License No.
N
Concrete
License No.
PROVIDE UNDER FLOOR SUPPORT FOR ABOVE PROPERTY. THIS WORK DOES NOT CHANGE
OCCUPANCY OF THIS STRUCTURE
8
OWNER AUTHORIZATION ON FILE
As�'d'condltion
described
for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
herein. I agree to comply with all City ordinances, and State laws
event
associated with such work. I understand that such permit may be revoked in the
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,,
suspended, abandoned or inspected within 180 days from the d e of such per or from the date of the last inspection.
/
Print
TOTAL FE€$
$3510
name of own r/agent ignature Date