HomeMy WebLinkAbout1029 Robertson St - Permits - 04/16/2003Community 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 ADDRESS1o29 ROBERTSON ST
PERMIT TYPE
CIMALAD COM/IND/MIX-ALT/ADDITION
Last Name, First, Middle Initial
HANAWALT. RONALD P
ZAddress
3 2237 APACHE CT
O Zi
�0525-1828
Front Setback
O 23
Z Right Side Setbac6-EXISTING
Z
N Plat File No. ZBA Ca!
240-'JB
TSubdivision/PUD
LEMAY MEDICAL PARK
Blockpany NameNTON CONSTRUCTION, INC.
Address
3707 W.CTY.RD. 50
� PM-482-3179 supervi.
Electrical
CLEAVER ELECTRIC
or Mechanical
0 NORTH. COLORADO AIR
Roofing
PARTNERS ROOFING
Z Framing
O
U
m Plumbing
City/St
PORT COLLINS, CO
Phone No. 493-4434
Rear Setback
6
Lett Side Setback
7.5
Number Zoning District
E
Lot Area 5050 Parcel N
�713409005
Contractor License IN
A-20
DRT COLLINS, CO
45-A
License No.
ME-261
License No.
H-837
License No.
R-1272
License No.
BUILDING PERMIT
Building Valuation
B8301148
ACCOUNT
PERMIT DATE
CATEGORY04/ 16/2003 Ian Check Fee
EVEL PE
ISSU_FUL Medical/Dental Clinics lailding Permit a/ Subs
Construction Type Occupancy Group
W 5N g ity Sales/Use Tax
Op No. of Stories 1 Building Height
12 ounty Sales/Use Tax
Building Square Footage Stock Plan/Options
80521
(See reverse side for Inspection Description)
SBF RP RM
GL IN FNB
FNE FNP FNM
UGE FD SPI
UGP SWR WTR
FR AW HAN
RE
MILLARD PLUMB. 8 HTG. License No.
M P -14
Concrete
PR CONSTRUCTION License"°.
CC-16
NEW 22' X 1 or ONE STORY ADDITION ON CRAWL SPACE OF EXISTING DENTAL OFFICE.
REQUIRES BACKFLOW PREVENTERON DOMESTIC WATER LINE-JOHN NELSON 221-6677 RECD OWNER
AUTH FORM
JOB CONTACT - ANDY HINTON
FRAMING DONE BY HINTON CONST
R23,500.00 I
FEE I DATE PAID
$106.93
3/11/03
$222.08
4/16/03
$352.50
4/16/03
$94.00
4/16/03
As a condi io 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 f the date of su�prmit�from �dateof the last inspection.
Z/ //ZL3
rrint name or owner/agent Signature Date TOTAL FEES
$77'S.51